Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
van Tuil, C; Saxena, AK; Willital, GH.
Look twice before you clamp: decapitation of an omphaloenteric duct. A case report.
Med Princ Pract. 2006; 15(2):156-158
Doi: 10.1159/000090923
(- Case Report)
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- Co-authors Med Uni Graz
- Saxena Amulya Kumar
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- Abstract:
- OBJECTIVE: To report a case of accidental decapitation of a persistent omphaloenteric duct (POD) in congenital hernia of the umbilical cord in a newborn male. CASE PRESENTATION AND INTERVENTION: The newborn was transferred to an intensive care unit, where under closer inspection the diagnosis of an omphalocele was presumed. Surgical exploration at our Pediatric Surgical University Clinic revealed a clamped and decapitated POD in the umbilical cord. The decapitation had gone unnoticed due to severe asphyxia resulting from meconium aspiration encountered at the time of delivery. Using general anesthesia, the clamp was removed under sterile conditions. The decapitation of the POD in the herniated umbilical cord was confirmed at this time. The severed intestine was sutured and closed using 5-0 Vicryl sutures. The further course was uneventful. CONCLUSION: Herniation of the umbilical cord at the time of birth by intestinal loops or POD is rare, but caution should be taken by midwives before clamping in order to avoid the type of injury seen in this case.
- Find related publications in this database (using NLM MeSH Indexing)
- Hernia, Umbilical - diagnosis
- Humans - diagnosis
- Iatrogenic Disease - diagnosis
- Ileum - injuries
- Infant, Newborn - injuries
- Male - injuries
- Vitelline Duct - injuries
- Find related publications in this database (Keywords)
- persistent omphaloenteric duct
- congenital umbilical cord hernia
- trauma to intestinal loops
- clamping of umbilical cord
- delivery