PERSISTENT VITELLOINTESTINAL DUCT WITH DISCHARGING FISTULA WITH RIGHT ECTOPIC KIDNEY ANDLEFT RENAL AGENESISIN 17 YEAR OLD MALE- A CASE REPORT

Abstract

Early in fetal life, the intestines i.e. midgut communicates with the yolk sac which is long narrow tube.[1] Generally, the duct fully obliterates (narrow and disappear) at 7mm stage and forms a fibrous cord connecting the umbilicus and the bowel. Its failure to become obliterated accounts for various types of vitelline duct abnormalities which occurs in 2% of population.[2] A persistent vitellointestinal duct can induce abdominal pain, bowel obstruction, intestinal hemorrhage and umbilical sinus, fistula or hernia which commonly occurs in children.[3]