2019 Volume 55 Issue 4 Pages 860-863
A boy weighing 3,740 g was born at 42 weeks and 2 days of gestation. An abnormal structure was found in the umbilical cord at birth, and he was transported to our hospital. The structure was 2 cm in diameter and dark red. It adhered tightly to the umbilical cord and it was difficult to return into the abdominal cavity. In addition, echo and MRI examination could not confirm the continuity of the structure with the abdominal cavity. On the 4th day after birth, we incised the amnion of the umbilical cord at the bedside, and meconium was discharged from the structure. The continuity of the structure with the abdominal cavity could not be confirmed intraoperatively. At the age of 6 days, we diagnosed the patient as having vitelline duct remnants in the umbilical cord, and surgery was performed. We incised the upper abdomen, and found that the structure inside the umbilical cord was the blind end of Meckel’s diverticulum. The umbilical ring was already closed, so the intestinal tract inside the umbilical cord was in an isolated state. By opening the umbilical rings and piercing the intestinal tract, we performed wedge resection of Meckel’s diverticulum and navel plasty. Since this case was rare and not found in the representative classification of vitelline duct remnants, we herein describe our experience and similar cases.
