Double ileoileal intussusception prolapse through persistent omphalomesenteric duct

Abstract

Double prolapsed intussusception is a rare complication of persistent omphalomesenteric duct and it represents a surgical emergency. Any delay in its management may lead to a negative outcome. We report the case of a 6 week-old boy with intestinal necrosis due to a double ileum intussusception prolapse through a persistent omphalomesenteric duct. At the time of the presentation the infant had signs and symptoms of intestinal obstruction and intraoperatively intestinal necrosis on 25 cm of the double intussuscepted bowel was found. A resection of the ileum was performed followed by an end-to-end anastomosis with uneventful evolution and discharge on the 3rd postoperative day. We report a serious complication due to a delay in management of a persistent omphalomesenteric duct.

Keywords

• Omphalomesenteric duct
• Intussusception
• Prolapsus