Persistent Vitello-Intestinal Duct Masquerading as Acute Appendicitis: A Case Report

Authors

  • 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

DOI:

https://doi.org/10.31729/jnma.8239

Keywords:

appendicitis; case reports; intestinal obstruction; laparotomy; omphalomesenteric duct.

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.

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Published

2023-08-01

How to Cite

Neupane , S. ., Kashyap , A. ., Pokhrel, B. ., Pathak, R. . ., & Prasad Koirala , D. . (2023). Persistent Vitello-Intestinal Duct Masquerading as Acute Appendicitis: A Case Report. Journal of Nepal Medical Association, 61(264), 671–674. https://doi.org/10.31729/jnma.8239

Issue

Vol. 61 No. 264 (2023): JNMA: Published Monthly

Section

Case Reports

License

Copyright (c) 2023 Biraj Pokhrel, Subita Neupane , Ashutosh Kashyap , Roshan Pathak, Dinesh Prasad Koirala

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