PERSISTENT VITELLOINTESTINAL DUCT WITH DISCHARGING FISTULA WITH RIGHT ECTOPIC KIDNEY ANDLEFT RENAL AGENESISIN 17 YEAR OLD MALE- A CASE REPORT
Early in fetal life, the intestines i.e. midgut communicates with the yolk sac which is long narrow tube. Generally, the duct fully obliterates (narrow and disappear) at 7mm stage and forms a fibrous cord connecting the umbilicus and the bowel. Its failure to become obliterated accounts for various types of vitelline duct abnormalities which occurs in 2% of population. A persistent vitellointestinal duct can induce abdominal pain, bowel obstruction, intestinal hemorrhage and umbilical sinus, fistula or hernia which commonly occurs in children.