Publication: Persistent Vitello-Intestinal Duct Masquerading as Acute Appendicitis: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
The vitello-intestinal duct normally regresses with the development. But, in certain cases, it could persist and present as Meckel's diverticulum. Here we report a case of an eight-year-old boy presenting with peri-umbilical abdominal pain, vomiting and loose stool. He was initially diagnosed and managed as acute appendicitis but did not improve, rather developed features of intestinal obstruction. Exploratory laparotomy was done which revealed persistent vitello-intestinal duct and was managed surgically. This case report highlights that in any case of suspected acute appendicitis, the complications of persistent vitello-intestinal duct should be considered as one of the differentials.
Description
Subita Neupane
Department of Family Medicine and Emergency Medicine, Civil Service Hospital, New Baneshwor, Kathmandu, Nepal
Ashutosh Kashyap
Department of Pediatric Surgery, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
Biraj Pokhrel
Department of Pediatric Surgery, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
Roshan Pathak
Department of Pediatric Surgery, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal
Dinesh Prasad Koirala
Department of Pediatric Surgery, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal