ISSN:
1437-7799
Keywords:
Key words Continuous ambulatory peritoneal dialysis
;
Vitelline duct
;
Intestinal obstruction
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract A 64-year old Japanese man began to experience intermittent epigastralgia, nausea, and vomiting just after commencing continuous ambulatory peritoneal dialysis (CAPD). Fourteen months after commencing CAPD, he had an intestinal obstruction. Because enhanced radiographs of the small intestine revealed that the occluded site was near the umbilicus, it was suggested that a remnant of the vitelline duct had adhered to and occluded the small intestine. Conservative treatment for the intestinal obstruction was not effective, and laparotomy was then performed. During the laparotomy, the first finding was a remnant of ligament-like vitelline duct connecting the protruding umbilicus and the small intestine. The second finding was that the small intestine was twisted around the remnant of the ligament-like vitelline duct at an angle of about 180° and completely occluded the intestine. Before the patient commenced CAPD, the remnant of the vitelline duct was asymptomatic, but it became symptomatic and finally caused intestinal obstruction after he commenced CAPD. This clinical course strongly suggested that the cue for the bowel obstruction caused by the remnant was the commencement of CAPD. This is the first report, to our knowledge, mentioning the relationship between CAPD and a remnant of the vitelline duct.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s101570070016
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