Persistent Vitellointestinal Duct Causing Bowel Obstruction in an Adult Treated by Laparoscopic Assisted Surgery

Main Article Content

Anushtup De
Rukhsar Ahmed


Aims: A persistent vitellointestinal duct is a rare finding, typically occurring in the pediatric population. Most commonly presenting as Meckel’s diverticulum, it is extremely rare for it to present as intestinal obstruction in the adult population.

Presentation: The present case report describes a 20 years old male presenting with features of small bowel obstruction due to obliterated fibrous remnant of the duct extending from the umbilicus to the terminal part of the ileum. Early resuscitation and timely intervention ensured that the patient was managed by laparoscopic assisted resection of the vitellointestinal duct and involved ileal segment followed by quick recovery.

Discussion: Intestinal Obstruction due to persistent vitellointestinal duct is an uncommon and very challenging preoperative diagnosis. While in few such case reports they have been managed by laparotomy and sometimes requiring resection of gangrenous small bowel, very rarely it has been treated laparoscopically. The clinical presentation and investigation justified early diagnostic laparoscopy in our patient which enabled a laparoscopic assisted bowel resection with lower morbidity, decreased hospital stay and early return to work.

Conclusion: Diagnosis and management of intestinal obstruction in an adult without history of previous surgery can be challenging. Surgeons must be aware of this uncommon cause of small bowel obstruction to ensure prompt management and better patient outcome.

Vitellointestinal duct, Meckel’s diverticulum, small bowel obstruction

Article Details

How to Cite
De, A., & Ahmed, R. (2019). Persistent Vitellointestinal Duct Causing Bowel Obstruction in an Adult Treated by Laparoscopic Assisted Surgery. Asian Journal of Case Reports in Surgery, 2(4), 1-5. Retrieved from
Case Study


Mucha P. Jr. Small intestinal obstruction. Surg Clin North Am. 1987;67(2):597-620.

Miller G, Boman J, Shrier I, Gordon PH. Natural history of patients with adhesive small bowel obstruction. Br. J. Surg. 2000; 87(9):1240–1247.

Miller G, Boman J, Shrier I, Gordon PH. Etiology of small bowel obstruction. Am J Surg. 2000;180:33-36

Vane DW, West KW, Grosfeld JL. Vitelline duct anomalies: experience with 217 childhood cases. Arch. Surg. 1987;122(5): 542–547.

Moore TC. Omphalomesenteric duct malformations. Semin Pediatr Surg. 1996; 5:116-123

Jalil O, Radwan R, Rasheed A, Nutt MR. Congenital band of the vitelline artery remnant as a cause of chronic lower abdominal pain in an adult: case report. Int. J. Surg. Case Rep. 2012;3(6): 207–208.

Herman M, Gryspeerdt S, Kerckhove D, Matthijs I, Lefere P. Small bowel obstruction due to a persistent omphalomesenteric duct. JBR-BTR. 2005; 88:175-177

Amendolara M, Pasquale S, Perri S, Carpentieri L, Errante D, Biasiato R. Intestinal occlusion caused by persistent omphalomesenteric duct and Meckel's diverticulum: report of 2 cases. Chir Ital. 2003;55:591-595.

Armstrong O, Karayuba R. A rare cause of intestinal obstruction revealed during pregnancy (Kamenge University Hospital Center, Bujumbura, Burundi). Med Trop (Mars). 1993;53:93-99.

Bedard CK, Ramirez A, Holsinger D. Ascending colon volvulus due to a vitelline duct remnant in an elderly patient. Am J Gastroenterol. 1979;71:617-620.

Gumport SL, Aronson SG. Acute intestinal obstruction secondary to Meckel's diverticulum with persistent obliterated omphalomesenteric duct. Am J Surg. 1959;97:225-228.

Dames EL, Hamouda ESM. Radiologic Imaging in Meckel Diverticulum Complications. J. Med. Ultrasound. 2015; 23(3):133–141.

Won Y, Lee HW, Ku YM, Lee SL, Seo KJ, Lee JI. Multidetector-row Computed Tomography (MDCT) features of Small Bowel Obstruction (SBO) caused by Meckel’s diverticulum. Diagn. Interv. Imaging. 2016;97(2):227–232.

Maheshwari V, Ramakrishnan TS, Trehan V. Persistent omphalomesenteric duct causing small bowel obstruction in an adult. Indian J Surg. 2013;75(Suppl 1):86-7.

Tika Ram Bhandari, Sudha Shahi, Manish Gautamand Sanjay Pandeya. A rare case report of patent vitellointestinal duct causing bowel obstruction in an adult. Int J Surg Case Rep. 2017;39:231–234.

Bueno Lledó J1, Serralta Serra A, Planeéis Roig M, Dobón Giménez F, Ibáñez Palacín F, Rodero Rodero R. Intestinal obstruction caused by omphalomesenteric duct remnant: Usefulness of laparoscopy. Rev Esp Enferm Dig. 2003;95(10):736-8,733-5.