A RARE CASE OF OMPHALOCELE WITH TUBULAR ILEAL DUPLICATION AND VITELLINE FISTULA (CASE REPORT)

Abstract

Background. A hernia of the umbilical cord (omphalocele) is a congenital abnormality in which a number of the abdominal organs are located extraperitoneally - in the umbilical membranes, consisting of the amnion, Wharton's jelly and the primary undifferentiated peritoneum. Digestive tract doublings constitute a group of rare malformations that vary significantly in appearance, location, size, and clinical manifestations. The incidence of this pathology is one case per 4500 autopsies. The first case of an intestinal duplication was reported by Calder in 1733. Objective. To demonstrate diagnosis and treatment of a rare case of omphalocele with tubular ileal duplication and vitelline fistula in a newborn. Material and methods. A clinical case report of 2-day-old patient L. who underwent treatment in the neonatal department of the Grodno Regional Children's Clinical Hospital in December 2021. Results. The child was found to have omphalocele with tubular ileal duplication and vitelline fistula. After preoperative preparation, the patient underwent an operation: abdominal reconstructive intervention to correct a congenital malformation. The treatment resulted in a complete recovery. Conclusions. We presented a case report not yet published in literature. Despite the complexity of the anomaly, the patient was discharged having fully recovered. The follow-up examination in 2022, detected no deviations in the child’s development.