Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena Cava
Introduction. Vitelline artery remnants are rare causes of intra-abdominal bands leading to bowel obstruction. These bands may be associated with Meckel’s diverticulum. Double inferior vena cava (IVC) is a rare presentation and is usually identified incidentally. Case Presentation. A sixty-year-old...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2016/4015408 |
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| author | Mihiri Wettasinghe Kumari Pussepitiya Bandula Samarasinghe Nuwan Wickramasinghe |
| author_facet | Mihiri Wettasinghe Kumari Pussepitiya Bandula Samarasinghe Nuwan Wickramasinghe |
| author_sort | Mihiri Wettasinghe |
| collection | DOAJ |
| description | Introduction. Vitelline artery remnants are rare causes of intra-abdominal bands leading to bowel obstruction. These bands may be associated with Meckel’s diverticulum. Double inferior vena cava (IVC) is a rare presentation and is usually identified incidentally. Case Presentation. A sixty-year-old male presented with progressive vomiting for five days and he was clinically diagnosed with intestinal obstruction. Plain X-ray abdomen showed evidence of small bowel obstruction. CT scan of the abdomen revealed dilated small bowel loops with a small outpouching in the distal ileum with a band like structure attached to it. In the CT, left sided patent IVC draining into the left renal vein was identified. Left external iliac vein was in continuity with the left IVC. Left internal iliac vein was draining into the right IVC. Exploratory laparotomy revealed a Meckel’s diverticulum with a band identified as the vitelline remnant attached to its apex and inserting at the anterior abdominal wall near the umbilicus. Discussion. Meckel’s diverticulum with vitelline bands, although rare, should be borne in mind in adult patients with intestinal obstruction. Identification of this anomaly can be difficult in imaging studies. Presence of double IVC should be mentioned in the imaging findings to prevent possible catastrophic complications during surgery. |
| format | Article |
| id | doaj-art-65f83a0ea421416897b09eef84698739 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
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| series | Case Reports in Radiology |
| spelling | doaj-art-65f83a0ea421416897b09eef846987392025-02-03T05:51:54ZengWileyCase Reports in Radiology2090-68622090-68702016-01-01201610.1155/2016/40154084015408Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena CavaMihiri Wettasinghe0Kumari Pussepitiya1Bandula Samarasinghe2Nuwan Wickramasinghe3Department of Radiology, Teaching Hospital, Peradeniya, Sri LankaDepartment of Radiology, Teaching Hospital, Peradeniya, Sri LankaDepartment of Surgery, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri LankaDepartment of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri LankaIntroduction. Vitelline artery remnants are rare causes of intra-abdominal bands leading to bowel obstruction. These bands may be associated with Meckel’s diverticulum. Double inferior vena cava (IVC) is a rare presentation and is usually identified incidentally. Case Presentation. A sixty-year-old male presented with progressive vomiting for five days and he was clinically diagnosed with intestinal obstruction. Plain X-ray abdomen showed evidence of small bowel obstruction. CT scan of the abdomen revealed dilated small bowel loops with a small outpouching in the distal ileum with a band like structure attached to it. In the CT, left sided patent IVC draining into the left renal vein was identified. Left external iliac vein was in continuity with the left IVC. Left internal iliac vein was draining into the right IVC. Exploratory laparotomy revealed a Meckel’s diverticulum with a band identified as the vitelline remnant attached to its apex and inserting at the anterior abdominal wall near the umbilicus. Discussion. Meckel’s diverticulum with vitelline bands, although rare, should be borne in mind in adult patients with intestinal obstruction. Identification of this anomaly can be difficult in imaging studies. Presence of double IVC should be mentioned in the imaging findings to prevent possible catastrophic complications during surgery.http://dx.doi.org/10.1155/2016/4015408 |
| spellingShingle | Mihiri Wettasinghe Kumari Pussepitiya Bandula Samarasinghe Nuwan Wickramasinghe Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena Cava Case Reports in Radiology |
| title | Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena Cava |
| title_full | Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena Cava |
| title_fullStr | Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena Cava |
| title_full_unstemmed | Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena Cava |
| title_short | Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena Cava |
| title_sort | congenital vitelline band causing intestinal obstruction in an adult with a double inferior vena cava |
| url | http://dx.doi.org/10.1155/2016/4015408 |
| work_keys_str_mv | AT mihiriwettasinghe congenitalvitellinebandcausingintestinalobstructioninanadultwithadoubleinferiorvenacava AT kumaripussepitiya congenitalvitellinebandcausingintestinalobstructioninanadultwithadoubleinferiorvenacava AT bandulasamarasinghe congenitalvitellinebandcausingintestinalobstructioninanadultwithadoubleinferiorvenacava AT nuwanwickramasinghe congenitalvitellinebandcausingintestinalobstructioninanadultwithadoubleinferiorvenacava |