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首页> 外文期刊>Surgical Endoscopy >Laparoscopic resection of patent omphalomesenteric duct in an adult.
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Laparoscopic resection of patent omphalomesenteric duct in an adult.

机译：腹腔镜切除成人闭锁胆管。

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摘要

The omphalomesenteric duct is the embryonic structure connecting the yolk sac to the primitive gut that disappears at 8 to 9 weeks of gestation. Failure of this duct to involute results in various anomalies. Failure of complete closure at different stages results in various anomalies, which occur in approximately 2% of the population. However, complete patency of omphalomesenteric duct is rare, reportedly occurring in approximately 15% omphalomesenteric duct anomalies. Adult presentations are extremely rare. We report the case of a 44-year-old man with a patent omphalomesenteric duct (POMD). He was admitted with a foul-smelling discharge from the umbilicus that he had experienced for 5 years. The condition had been interpreted as an umbilical granuloma at other centers, and multiple unsuccessful sessions of cauterization with silver-nitrate bar had been performed. At laparoscopy through three ports, the POMD was resected with the aid of a laparoscopic linear stapler. To our knowledge, this is the first adult case of POMD resected laparoscopically. The pitfalls of this diagnosis in the adult and the technique of laparoscopic resection is discussed in light of the available literature.
机译：卵肠肠管是将卵黄囊与原始肠连接的胚胎结构，其在妊娠8至9周时消失。该管道无法渐开线会导致各种异常。在不同阶段无法完全关闭会导致各种异常，大约占总人口的2％。但是，全肠胃管完全通畅的情况很少，据报道发生在大约15％的全肠胃管异常中。成人演讲极为罕见。我们报道了一名44岁的男性患者，该患者患有全指肠膜导管（POMD）。他被接受了五年的脐带恶臭排放。该病在其他中心被解释为脐带肉芽肿，并且多次使用硝酸银棒进行烧灼未成功。在通过三个端口进行腹腔镜检查时，借助于腹腔镜线性吻合器将POMD切除。据我们所知，这是第一例腹腔镜切除的POMD成人病例。根据现有文献讨论了这种诊断在成人中的陷阱和腹腔镜切除技术。

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