2018 Volume 54 Issue 5 Pages 1124-1128
We report a case of strangulation ileus due to vitelline vascular remnants without Meckel’s diverticulum. A 14-year-old boy was admitted to our hospital with abdominal pain and vomiting. Ultrasonography and enhanced CT revealed a localized ischemia and distention of the intestine. We diagnosed him as having strangulation ileus and performed emergency open surgery. Upon surgery, we found a band running between the anterior surface of the mesentery of the ileum, 10 cm proximal to the ileocecal valve, and posterior abdominal wall of the umbilicus. The band caused strangulation ileus of the ileum, and no Meckel’s diverticulum was detected. The band was resected. Histopathological analysis revealed that the band contained an artery and a vein, and was diagnosed as vitelline vascular remnants. Reports of vitelline vascular remnants without Meckel’s diverticulum are very rare. In treating strangulation ileus in a patient who had no previous history of laparotomy, vitelline vascular remnants should be considered as a differential diagnosis.
