Case Report

Single Incision Laparoscopic Appendectomy&Omphalomesenteric Duct Remnant Excision

  • Muharrem Öztaş
  • Hüseyin Sinan
  • Mehmet Saydam
  • Eyüp Duran
  • Armağan Günal

Turk J Colorectal Dis 2013;23(4):197-200


Incomplet regression of the omphalo-mesenteric duct presents with a lot varied anatomical entities. The aim of this study, to share our clinical experience which is a case of omphalo-mesenteric duct remnant treated by single insicion laparoscopic surgery.

Materai and methods:

The case of the OMD remnant reported here was detected in an adult male patient (22-year old) in that presented with acute abdomen.

Case report:

During laparoscopic exploration, beside hyperemic and erectile appendicitis, omphalo-mesenteric duct remnant was observed as a thin cord extending from the umbilicus towards the ileal mesentery. The tissue was excised after appendectomy.


Intestinal obstruction is reported to be the most serious complication of persistent omphalo-mesenteric duct. Although it's very rare, the occurrence of such innocent band may cause entanglement of intestinal loops around it. Possibility of such a situation should be considered in diferantial diagnosis of acute abdominal conditions. Therefore, whether omphalo-mesenteric duct is incidentally detected in laparotomy or laparoscopy, it should be removed. Single incision surgery can be safely used on the treatment of these kind of cases.

Keywords: Omphalo-mesenteric duct, Acute abdomen, Single insicion laparoscopic surgery