NDLI: Hernia of the umbilical cord and associated ileal prolapse through a patent omphalomesenteric duct: prenatal ultrasound and MRI findings.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ono, Kyoko Kikuchi, Akihiko Takikawa, Keiko Miyachi Hiroma, Takehiko Yoshizawa, Katsumi Sunagawa, Sorahiro Takagi, Kimiyo Momose, Yoshitaka Nakamura, Tomohiko
Description	Country affiliation: Japan Author Affiliation: Ono K ( Department of Obstetrics, Center for Perinatal Medicine, Nagano Children's Hospital, Nagano, Japan.)
Abstract	BACKGROUND: It is quite unusual for a fistula to communicate directly with the surface of the hernia sac, and associated prolapse of the ileum through a patent omphalomesenteric duct is also extremely rare. OBJECTIVES: We report a unique case of a fetus exposed to methimazole in utero, with a hernia of the umbilical cord and associated ileal prolapse through a patent omphalomesenteric duct. METHODS AND RESULTS: In this case, the umbilical cord was attached to a small unruptured omphalocele, to the right of which a small everted loop of the ileum had evaginated. The hernia sac measured 2.5 cm and contained only ileum. The ileal prolapse was T shaped and had two visible mucosal ostia, and meconium was discharging from the ostium on the oral side. We confirmed that this loop of small bowel had prolapsed through a patent omphalomesenteric duct, which had a fistulous communication with the surface of the hernia sac. This resulted in the misleading prenatal findings on ultrasound and MRI, which were suggestive of a gastroschisis. Such a case with prenatal ultrasound and MRI findings has not been reported previously. CONCLUSION: The observed congenital anomaly in our fetus might be associated with prenatal exposure to methimazole.
File Format	HTM / HTML
ISSN	10153837
Issue Number	1
Volume Number	25
e-ISSN	14219964
Journal	Fetal Diagnosis and Therapy
Language	English
Publisher	Karger
Publisher Date	2009-01-01
Publisher Place	Switzerland
Access Restriction	Subscribed
Subject Keyword	Discipline Diagnostic Imaging Discipline Obstetrics Discipline Perinatology Hernia, Umbilical Diagnosis Ileal Diseases Magnetic Resonance Imaging Ultrasonography, Prenatal Vitelline Duct Abnormalities Adult Diagnosis, Differential Female Gastroschisis Humans Complications Pregnancy Prolapse Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Radiology, Nuclear Medicine and Imaging Embryology Pediatrics, Perinatology and Child Health Obstetrics and Gynecology

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in