An Extremely Rare Case Report On Patent Vitello Intestinal Duct Leading to Double Proximal and Distal Ileal Intussusception

Abstract

Background: A very uncommon condition known as double intussusception results from both proximal and distal ileal segment protrusion into the patent vitelline duct. At 5 to 9 weeks gestation, the vitelline duct that will cause an intussusception is often obliterated.

Case report: A 22-day-old male neonate was delivered to a Para II mother after 9 months of amenorrhea via spontaneous vaginal delivery at the health clinic. He had an unknown weight and screamed shortly after birth. Double intussusception via patent vitelline duct was identified; the intussusception was manually reduced; segmental ileal resection, including the duct, was performed; end-to-end ileal anastomosis was performed; and umbilical repair by purse string was completed. The patient was admitted to the ward for 7 days, and then discharged after improving. He is now in his sixth month of post-operative recovery and is not complying.

Conclusion:  Although it is highly unusual for a surgeon to witness late-onset double intussusception via a patent vitelline duct, it is critical to be aware of its incidence and treatment.