Neupane, SubitaKashyap, AshutoshPokhrel, BirajPathak, RoshanKoirala, Dinesh Prasad2025-08-282025-08-282023https://hdl.handle.net/20.500.14572/2144Subita 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, NepalAbstract 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.en-USOther