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	Vitelline duct cyst Dirk Schaper, V Hofmann. Vitelline duct cyst. PedRad [serial online] vol 3, no. 3. URL: www.PedRad.info/?search=20030319144124
	Images to this case:	[ Ultrasound ] [ MRI ] [ OP-Situs ] [ All ]
	Author/s:	Dirk Schaper, V. Hofmann (Halle/S.)
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	Age:	4,5 Newborn
	Gender:	Male
	Region-Organ:	GI-Small intestine
	Most likely etiology:	congenital
	History:	4.5 year-old boy with reoccuring stomach aches and vomiting in a course of 2 years. Various ambulatory consultations at the patients place of residence. Finally, in-patient diagnostics in an outside clinic (MRI). Admission to our clinic for further diagnostic tests.
	Pathomorphology or Pathophysiology of this disease :	Relict of the omphaloenteric duct.
	Radiological findings:	<- view MRI 1 MRI 1: T2-Weighted image sagittal (median slice), large supravesical mass near the umbilicus in the median slice. Fluid contents. <- view MRI 2 MRI 2: T2-Weighted image sagittal, (Paramedian slice), tubular structure with fluid contents without belonging a specific organ, dysontogenetic cyst? <- view MRI 3 MRI 3: T2-Weighted image, axial slice, tubular structure, fluid contents, not belonging to a specific organ. <- view Ultrasound 1 Ultrasound 1: Longitudinal lower abdomen, echo-free, non compliant tubular structure, next to the bladder. Mass is moveable upon breathing - intraabdominal location, no certain connection to the bladder. <- view Ultrasound 2 Ultrasound 2: Transverse lower abdomen. echo-free structure with diameter of 24 mm. Structured walls with seemingly mucosa-like structure inside and out. Low-echogenic muscularis? <- view Ultrasound 3 Ultrasound 3: Doppler: No hyperperfusion <- view OP-Situs 1 OP-Situs 1: Tubular structure of about 50 cm from the Bauhin valve. From the outside, it looks like a Meckel's diverticulum, contents non-compliant on pressure, no connection to the gut-lumen.
	Diagnosis confirmation:	Surgery / Histo
	Which DD would be also possible with the radiological findings:	Meckel's diverticulum, mesenterial cyst, urachus cyst.
	Course / Prognosis / Frequency / Other :	Voiding cystography to rule out a connection to the bladder. Laparotomy, removal. No complications or symptoms after surgery.
	Comments of the author about the case:	N/A
	First description / History:	N/A
	Literature:	1. Medline: Heifetz,S.A., M.E. Rueda-Pedraza Omphalomesenteric duct cysts of the umbilical cord. Pediatr Pathol 1983 Jul-Sept; 1 (3): 325-35
	Keywords:	Vitelline cyst, omphaloenteric duct, abdominal pain, vomiting, Vitelline duct, Vitelline duct cyst, child, childhood, pediatric radiology
	Cite this article:	Dirk Schaper, V Hofmann. Vitelline duct cyst. PedRad [serial online] vol 3, no. 3. URL: www.PedRad.info/?search=20030319144124
	Read similar articles:	with corresponding keywords in the same field: GI-Small intestine or in the region: GI or in the tissue/organ: Small intestine or with the etiology: congenital
	Images to this case:	[ Ultrasound ] [ MRI ] [ OP-Situs ] [ All ]
	Vitelline duct cyst Dirk Schaper, V Hofmann. Vitelline duct cyst. PedRad [serial online] vol 3, no. 3. URL: www.PedRad.info/?search=20030319144124
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Vitelline duct cyst Other cases by these authors: Dirk Schaper (43) 1: Testicular microlithiasis 2: Intravaginal testicular torsion 3: Mesorchial testicular torsion 4: Idiopathic acute scrotal edema 5: Extended triplane I fracture 6: Vitelline duct cyst 7: Perforated appendicolith 8: Gallbladder hydrops with evolving cholecystitis 9: Hydatid torsion 10: Ectopic ureterocele 11: Thoracic lymphangioma with acute hemorrhage 12: Complicated van Neck's Disease 13: Pathologic fracture with juvenile bone cyst 14: Spondylodiscitis L4/5 15: Hypertrophic pyloric stenosis 16: Acute appendicitis 17: Congenital diaphragmatic hernia (CDH), left 18: Stress fracture of the proximal tibia 19: Ileocolic invagination, pneumatic devagination 20: Pancreatic rupture with pseudocyst formation 21: Testicular fracture 22: Inguinal hernia containing ovary 23: Cranial fracture - parietal 24: Omental cyst 25: Ureterocele (adult form) 26: Functional right ovarian cyst 27: Bladder Diverticulum with Double Kidneys and Duplicated Ureter 28: Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst 29: Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter 30: Bochdalek's Hernia with pleuroperitoneal covering 31: Reversible Ceftriaxone Associated Biliary Pseudolithiasis 32: Splenic Lymphangioma 33: Prenatal torqued and infarcted ovarian cyst 34: Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele 35: Unilocular Congenital Hepatic Cyst 36: Congenital internal Duodenal Stenosis 37: Temporary Obstruction of the Appendix 38: Spermatocele 39: Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis 40: B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma) 41: Rapunzel syndrome grade I° due to trichobezoar 42: Bowel perforation and ileus after ingestion of magnets 43: CES - Congenital Esophageal Stenosis V. Hofmann (17) 1: Testicular microlithiasis 2: Intravaginal testicular torsion 3: Mesorchial testicular torsion 4: Idiopathic acute scrotal edema 5: Vitelline duct cyst 6: Perforated appendicolith 7: Gallbladder hydrops with evolving cholecystitis 8: Hydatid torsion 9: Ectopic ureterocele 10: Pathologic fracture with juvenile bone cyst 11: Spondylodiscitis L4/5 12: Hypertrophic pyloric stenosis 13: Acute appendicitis 14: Stress fracture of the proximal tibia 15: Ileocolic invagination, pneumatic devagination 16: Pancreatic rupture with pseudocyst formation 17: Omental cyst Vitelline duct cyst
	Vitelline duct cyst Dirk Schaper, V Hofmann. Vitelline duct cyst. PedRad [serial online] vol 3, no. 3. URL: www.PedRad.info/?search=20030319144124
Which diagnosis have other collegues guessed? Ovarial cyst Votes: 1 (5 %) Vitelline duct cyst Votes: 6 (33 %) Intestinal duplicature Votes: 4 (22 %) Meckel diverticulum Votes: 4 (22 %) Urachus Votes: 3 (16 %) Total answers: 18
	Vitelline duct cyst Dirk Schaper, V Hofmann. Vitelline duct cyst. PedRad [serial online] vol 3, no. 3. URL: www.PedRad.info/?search=20030319144124
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	Vitelline duct cyst Dirk Schaper, V Hofmann. Vitelline duct cyst. PedRad [serial online] vol 3, no. 3. URL: www.PedRad.info/?search=20030319144124