, Ka Hyun Lee, Ji-Won Han, Su Jin Cho The omphalomesenteric duct is an embryologic connection between the midgut and yolk sac, which typically disappears at 5th to 7th week of gestation. Failure of the obliteration process can lead to omphalomesenteric duct remnants. We report a case of a neonate with a patent omphalomesenteric duct fistula opening to the umbilicus presenting with meconium sprouting from the umbilical stump. Segmental resection of the ileum and end to end anastomosis were conducted. The patient was discharged on the 8th postoperative day without any complications, and no abnormalities were observed at the outpatient clinic follow-up up to 5 months after surgery. Here we describe the case and a review of the literature.
Citations
, Seok Heun Jang, Hak Ryong Choi, Bong Suck Shim, Sung Won Kwon Urethral masses are not common in urogenital disease. The purpose of this study is to investigate and analyze urethral masses.
We reviewed 82 cases of urethral mass which were confirmed pathologically at Urology Department of Ewha Womans University Hospital from January 1985 to December 1994.
1) Age distribution was between 10 and 82 years(mean age 48.7 years), showing the highest incidence in 31 to 60 years(53/82, 64.6%) and female to male ratio was 5.8:1.
2) Major symptoms were foreign body sensation of urethra(42/82, 51.2%), vaginal spotting (20/82,24.4%), dysuria(12/82, 14.6%), residual urine sensation and urinary frequency.
3) Among them, 40 cases were urethral caruncle(40/82,48.8%), 13 were urethral diver-ticulum(13/82, 15.9%), 10 were urethral condyloma(10/82, 12.2%), and 8 were urethral leiomyoma(8/82, 9.8%).
4) Among urethral caruncles, 24 cases were telangiectatic type(24/40, 60%), 8 were papillomatous type(8/40, 20%) and 8 were granulomatous type(8/40, 20%).
5) Surgical excision with electrocauterization or laser fulguration was performed in all cases and radiation therapy was added in case of leiomyosarcoma.
These results suggest that urethral masses are more common in female than male, most of them are benign condition, urethral caruncle is a major disease, and surgical excision with electrocauterization or laser fulguration is a good treatment.
, Kum-Ja Choi, Hoo Jae Han The purpose of study is to assess the clinical characteristics of complicated Meckel's diverticulum in children.
A retrospective review of pediatric cases of complicated Meckel's diverticulae that were surgically treated at Ewha Womans University Hospital from 1985 was performed. The charts were reviewed for the age and sex of the patients, operation finding, treatment, and outcome.
A total 13 patients with a complicated Meckel's diverticulum were identified. There were 8 boys(61.5%) and 5 girls (38.5%) with a mean age of 5.3 years (range, 1month to 14years). Presenting signs and symptoms included digestive hemorrhage (6), intestinal obstruction(4), perforation (1), intussusception due to inverted Meckel's diverticulum (1) and diverticulitis (1). A99m technetium pertechnetate scintiscan was positive in 3 of 4 patients. Barium contrast studies and colonoscopys were not diagnostic. The mean distance from the ileocecal valve to the diverticulum was 47.0±15.7cm. Average length of the diverticulum was approximately 4.7±3.0cm. Segmental small bowel resection including Meckel's diverticulum (84.6%) or wedge excision(15.4%) was done for treatment. In the bleeding group, ectopic gastric mucosa was present in 5 of 6 patients. Postoperative morbidity and mortality was each 0%.
The results of this study draw attention to the fact that the complicated Meckel's diverticulum must be suspected in children with acute abdomen or gastrointestinal bleeding.
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