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A 23-day-old term male infant presented to the emergency room with acute small-bowel evisceration through the umbilicus (Panel A). His parents had noted periumbilical erythema and mucus-containing umbilical drainage before the evisceration. The child was taken to the operating room, where, through a supraumbilical incision, a 10-cm length of distal ileum that had prolapsed through a patent omphalomesenteric duct was reduced (Panel B). The duct was released from the umbilicus (Panel C) and closed with sutures (arrow). Inspection of the remaining bowel revealed malrotation, which necessitated a Ladd's procedure to release peritoneal bands; an appendectomy was performed, and the bowel . . . [Full Text of this Article] |
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