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Congenital Omphalo Hepatico Sigmoid Fistula—a Rare Case Report

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Abstract

Congenital omphalo hepatico sigmoid colon fistula is yet not described in the literature. There are few case reports of hepatico colic fistula in adults but none is in the paediatric age group. Most of the adult hepatico colic fistulas are due to hepatic abscess, cyst, or foreign bodies. The primary hepatico colic fistula with umbilical connection is not described yet. We report a case of a 2-year-old male child who had an omphalo hepatico sigmoid fistula. The patient was managed with surgery and the fistula was divided, following which he had a biliary leak which was managed with ERC. The child developed extrahepatic portal vein occlusion and atrophy hypertrophy in the liver due to repeated cholangitis episodes. Currently, the patient is doing well at 4 years follow-up. Congenital omphalo hepatico sigmoid colon fistula is one of the rarest anomalies. Early recognition and treatment are essential to prevent complications.

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Authors and Affiliations

  1. Department of GI Surgery, SIDS Hospital and Research Center, Majura Gate, Ring Road, Surat, Gujarat, 395001, India

    Keyur Bhatt, Dhaval Mangukiya & Daxa Kachhadiya

  2. Department of Medical Gastroenterology, SIDS Hospital and Research Centre, Surat, Gujarat, India

    Rajiv Mehta

Authors
  1. Keyur Bhatt
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  2. Rajiv Mehta
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  3. Dhaval Mangukiya
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  4. Daxa Kachhadiya
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Contributions

Bhatt, Keyur: Case study, writing, editing of images, and discussion.

Mehta, Rajiv: Case study and discussion write-up.

Mangukiya Dhaval: Discussion write-up and image editing.

Kachhadiya Daxa: Literature search and follow-up data collection.

Corresponding author

Correspondence to Keyur Bhatt.

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Necessary permission was taken from the Institutional Ethics Committee.

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The informed and written consent was obtained from the patient regarding the presentation of this case.

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The authors have no conflict of interest and no financial disclosure.

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Bhatt, K., Mehta, R., Mangukiya, D. et al. Congenital Omphalo Hepatico Sigmoid Fistula—a Rare Case Report. Indian J Surg 84, 1078–1082 (2022). https://doi.org/10.1007/s12262-021-02926-8

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  • DOI: https://doi.org/10.1007/s12262-021-02926-8

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