Vitelline duct

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Vitelline duct
Fetus of about eight weeks, enclosed in the amnion. (Vitelline duct labeled at lower right.)
Sketches in profile of two stages in the development of the human digestive tube. (Vitelline duct labeled on bottom image.)
Details
Days28
PrecursorMidgut, yolk sac
Identifiers
Latinductus vitellinus
MeSHD014816
Anatomical terminology

In the

human embryo, the vitelline duct, also known as the vitellointestinal duct,[1] the yolk stalk,[1] the omphaloenteric duct,[1] or the omphalomesenteric duct,[1] is a long narrow tube that joins the yolk sac to the midgut lumen of the developing fetus.[2] It appears at the end of the fourth week, when the yolk sac (also known as the umbilical vesicle) presents the appearance of a small pear-shaped vesicle
.

Function

Obliteration

Generally, the duct fully obliterates (narrows and disappears) during the 5–6th week of

ileocecal junction
and may be attached by a fibrous cord to the abdominal wall at the umbilicus.

Persistence

The yolk sac can be seen in the

afterbirth as a small, somewhat oval-shaped body, the diameter of which varies from 1 mm to 5 mm. It is situated between the amnion and the chorion and may lie on the placenta
or at a varying distance from it.

Clinical significance

Meckel's diverticulum

Sometimes a narrowing of the lumen of the ileum is seen opposite the site of attachment of the duct. On this site of attachment, sometimes a pathological Meckel's diverticulum may be present.

A mnemonic used to recall details of a Meckel's diverticulum is as follows: "2 inches long, within 2 feet of ileocecal valve, 2 times as common in males than females, 2% of population, 2% symptomatic, 2 types of ectopic tissue: gastric and pancreatic". In the decades since the mnemonic was developed, further epidemiology has found the incidence of symptomatic diverticulae to be 4%, not 2%,[3][4] and the incidence to be 2–5x greater in males than females, but the mnemonic is still helpful.

Additional images

  • Front view of two successive stages in the development of the digestive tube.
    Front view of two successive stages in the development of the digestive tube.

References

  1. ^ a b c d Elsevier, Dorland's Illustrated Medical Dictionary, Elsevier.
  2. ^ .
  3. ^ Robbins and Cotran, Pathologic Basis of Disease, 8th ed., p. 766
  4. ^ Brant and Helms, Fundamentals of Diagnostic Radiology, 4th ed., p. 778

Further reading