{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T20:18:28Z","timestamp":1780949908103,"version":"3.54.1"},"reference-count":9,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,3,22]]},"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Vitellointestinal duct anomalies, although one of the most frequent malformations to be found (2%\u20133% in population), they are most unlikely to cause symptoms. A persistent Vitellointestinal duct can induce abdominal pain, bowel obstruction, intestinal haemorrhage and umbilical sinus, fistula or hernia which commonly occurs in children. Patent vitellointestinal duct or persistent omphalomesenteric duct is a very unusual congenital anomaly which occurs in 2% of the population related to the embryonic yolk stalk. Similarly, urachal anomalies remain a rare finding, with the most common being a cyst or sinus followed by patent urachus and rarely a urachal diverticulum. Presenting symptoms include periumbilical discharge, pain and a palpable mass.<\/jats:p>\n               <jats:p>Here, we report a case of an adult patient with patent vitellointestinal duct and urachus identified intraoperatively on diagnostic laparoscopy when being operated for umbilical hernia repair.<\/jats:p>","DOI":"10.1136\/bcr-2021-247789","type":"journal-article","created":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T11:47:45Z","timestamp":1648813665000},"page":"e247789","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Persistent omphalomesenteric duct and urachus presenting as an umbilical hernia"],"prefix":"10.1136","volume":"15","author":[{"given":"Sameer Ashok","family":"Rege","sequence":"first","affiliation":[{"name":"Professor and unit head at the department of General Surgery, King Edward Memorial and Seth Gordhandas Sunderdas Medical College, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3798-8617","authenticated-orcid":false,"given":"Vineeth Bhargav","family":"Saraf","sequence":"additional","affiliation":[{"name":"Department of General Surgery, King Edward Memorial and Seth Gordhandas Sunderdas Medical College, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahesh","family":"Jadhav","sequence":"additional","affiliation":[{"name":"Department of General Surgery, King Edward Memorial and Seth Gordhandas Sunderdas Medical College, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,4,1]]},"reference":[{"key":"2025082710520516000_15.4.e247789.1","first-page":"157","article-title":"Current options in umbilical hernia repair in adult patients","volume":"31","author":"Kula\u00e7o\u011flu","year":"2015","journal-title":"Ulus Cerrahi Derg"},{"key":"2025082710520516000_15.4.e247789.2","doi-asserted-by":"crossref","DOI":"10.3748\/wjg.v12.i5.825","article-title":"Adult case of an omphalomesenteric cyst resected by laparoscopic-assisted surgery","volume":"12","author":"Sawada","year":"2006","journal-title":"World J Gastroenterol"},{"key":"2025082710520516000_15.4.e247789.3","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1987.01400170048007"},{"key":"2025082710520516000_15.4.e247789.4","first-page":"116","article-title":"Omphalomesenteric duct malformations","volume":"5","author":"Moore","year":"1996","journal-title":"Semin Pediatr Surg"},{"key":"2025082710520516000_15.4.e247789.5","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/s10029-009-0618-7","article-title":"Laparoscopic management of urachal cyst associated with umbilical hernia","volume":"15","author":"Gregory","year":"2011","journal-title":"Hernia"},{"key":"2025082710520516000_15.4.e247789.6","first-page":"736","article-title":"Intestinal obstruction caused by omphalomesenteric duct remnant: usefulness of laparoscopy","volume":"95","author":"Bueno Lled\u00f3","year":"2003","journal-title":"Rev Esp Enferm Dig"},{"key":"2025082710520516000_15.4.e247789.7","doi-asserted-by":"crossref","DOI":"10.1007\/s00464-002-4209-2","article-title":"Laparoscopic resection of patent omphalomesenteric duct in an adult","volume":"16","author":"Nursal","year":"2002","journal-title":"Surg Endosc"},{"key":"2025082710520516000_15.4.e247789.8","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.asjsur.2014.04.009","article-title":"Laparoscopic management of symptomatic urachal remnants in adulthood","volume":"38","author":"Siow","year":"2015","journal-title":"Asian J Surg"},{"key":"2025082710520516000_15.4.e247789.9","doi-asserted-by":"crossref","first-page":"275","DOI":"10.21037\/tp.2016.09.10","article-title":"Laparoscopic management of urachal cysts","volume":"5","author":"Chiarenza","year":"2017","journal-title":"Translational Pediatrics"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-247789","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:52:15Z","timestamp":1756317135000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-247789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,4,1]]},"published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1136\/bcr-2021-247789"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-247789","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}