March 1968

Complete Urachal Tract Associated With Meckel's Diverticulum

Author Affiliations

Morgantown, Wva
From the Department of Surgery, Veterans Administration Hospital, Clarksburg, WVa, and West Virginia University Medical Center, Morgantown. Doctor Gerwig is now at Wayne State University and the Department of Surgery, Veterans Hospital, Allen Park, Mich. Doctor Cueto is on leave from Hospital Central Militar, Mexico, DF.

Arch Surg. 1968;96(3):438-439. doi:10.1001/archsurg.1968.01330210116023

CONGENITAL ANOMALIES of the omphalomesenteric duct or urachus are relatively frequent. However, completely patent omphalomesenteric duct is extremely rare.1 In 1965, Steck and Helwig2 stated that complete urachal tract between the bladder and umbilicus is a rare entity. In their review of 290 cases of umbilical disease recorded at the Armed Forces Institute of Pathology, they found that only 48 had urachus attached to the umbilicus. In their report, they also mentioned malformations of the omphalomesenteric duct, but it is not stated whether this is frequently associated with a Meckel's diverticulum, as would be expected, since both embryological remnants are very close in origin. A case of complete urachal sinus tract associated with Meckel's diverticulum is herein reported.

Report of a Case  A 43-year-old white man, was admitted to the Veterans Administration Hospital in Clarksburg, WVa, on Feb 17, 1967, with the main complaint of a draining, infected

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