ABSTRACT

Incomplet regression of the omphalo-mesenteric duct presents with a lot varied anatomical entities. The aim of this study, to share our clinical experience which is a case of omphalo-mesenteric duct remnant treated by single insicion laparoscopic surgery.

The case of the OMD remnant reported here was detected in an adult male patient (22-year old) in that presented with acute abdomen.

During laparoscopic exploration, beside hyperemic and erectile appendicitis, omphalo-mesenteric duct remnant was observed as a thin cord extending from the umbilicus towards the ileal mesentery. The tissue was excised after appendectomy.

Intestinal obstruction is reported to be the most serious complication of persistent omphalo-mesenteric duct. Although it's very rare, the occurrence of such innocent band may cause entanglement of intestinal loops around it. Possibility of such a situation should be considered in diferantial diagnosis of acute abdominal conditions. Therefore, whether omphalo-mesenteric duct is incidentally detected in laparotomy or laparoscopy, it should be removed. Single incision surgery can be safely used on the treatment of these kind of cases.