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     Journal of Indian Association of Pediatric Surgeons
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LETTER TO EDITOR
Year : 2007  |  Volume : 12  |  Issue : 1  |  Page : 59
 

Perforated bowel in omphalocoele


Rajah Muthiah Medical College, Annamalai University, Tamilnadu, India

Correspondence Address:
V Raveenthiran
Rajah Muthiah Medical College, Annamalai University, Tamilnadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.31099

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How to cite this article:
Raveenthiran V. Perforated bowel in omphalocoele. J Indian Assoc Pediatr Surg 2007;12:59

How to cite this URL:
Raveenthiran V. Perforated bowel in omphalocoele. J Indian Assoc Pediatr Surg [serial online] 2007 [cited 2020 Oct 22];12:59. Available from: https://www.jiaps.com/text.asp?2007/12/1/59/31099


Sir,

The case reported by Kale et al .[1] was an interesting paper. However, I seriously question the authors' diagnosis. They concluded small bowel perforation because the ileal lumen was communicating to the exterior of the omphalocele sac. The authors' textual description of clean peritoneal cavity without any mention of spillage of perforated material is inconsistent with their claim. Moreover, they are unable to explain how the bowel could have perforated when the omphalocoele itself remains intact.

Judging from the text and figures, it appears to be a case of omphalocoele with patent vitellointestinal duct. There are many such cases reported in the literature.[2]-[5] In Kale et al. case, short length of the duct is probably responsible for the illusion of ileal perforation. Intriguingly, the authors have not even considered this differential diagnosis in their discussion.

 
   References Top

1.Kale R, Handa R, Harjai MM. Perforated small bowel in omphalocele at birth. J Indian Assoc Pediatr Surg 2006;11:39-40.  Back to cited text no. 1    
2.Rohatgi M, Gorthi SN. Omphalocele with patent omphalomesenteric duct and ileal prolapse. Indian J Pediatr 1984;51:119-23.  Back to cited text no. 2    
3.Davis RM, Kehm RW. Omphalocele with patent vitellointestinal duct and ileal prolapse. Am J Surg 1967;113:571-3.  Back to cited text no. 3  [PUBMED]  [FULLTEXT]
4.Gratiot JH. Persistent omphalomesenteric duct with omphalocele. Am J Surg 1953;86:747-50.  Back to cited text no. 4  [PUBMED]  
5.Allen MS, Fitchett CW. Omphalocele with a patent everted omphalomesenteric duct: Report of a case. Surgery 1952;32:715-8.  Back to cited text no. 5    




 

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