Minimally invasive management of patent vitello-intestinal duct in an adult.

Authors

Rahul Kumar Jaiswal, Devender Singh, Piyush Ranjan, Sunil Chumber

Published in

Journal of minimal access surgery. Aug 13, 2026. Epub Aug 13, 2026.

Abstract

The patent vitello-intestinal duct (PVID) is a persistent embryological remnant of the omphalomesenteric duct, which normally connects the yolk sac to the primitive midgut, and it is obliterated between the 8 th and 9 th weeks of gestation. Failure of this involution results in a spectrum of anomalies, including Meckel's diverticulum, umbilical sinus, fistula, and cyst. Although such remnants are present in approximately 2% of the population, symptomatic presentation in adulthood is exceedingly rare. We report the case of a 30-year-old male who presented with foul-smelling umbilical discharge from a 0.3 cm × 0.3 cm opening for 24 months. He was successfully treated with laparoscopic resection of the PVID using an endoscopic linear stapler. Adult presentation of PVID with bilio-feculent discharge is exceptionally uncommon and not reported in the literature.

PMID:
42616948
Bibliographic data and abstract were imported from PubMed on 20 Aug 2026.

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