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Dermatologic presentation of omphalomesenteric duct remnant
Robert A Norman1, Charles T Dewberry
1skindrrob@aol.com
Skinmed
|May 12, 2006
Summary
A congenital umbilical lesion in an infant was diagnosed as an omphalomesenteric duct remnant. Histopathology confirmed ectopic intestinal mucosa, necessitating surgical evaluation for removal.
Area of Science:
- Dermatology
- Pediatric Surgery
- Histopathology
Background:
- Congenital umbilical lesions require careful evaluation to rule out underlying developmental abnormalities.
- Early identification of umbilical abnormalities is crucial for preventing potential complications.
Observation:
- A 6-month-old infant presented with a congenital, asymptomatic, violaceous polypoid papule on the umbilicus.
- The lesion was present since birth with no history of trauma or delivery complications.
Findings:
- Histopathological examination of the umbilical lesion revealed ectopic intestinal mucosa.
- The findings were consistent with an omphalomesenteric duct remnant.
Implications:
- Omphalomesenteric duct remnants require surgical consultation for complete evaluation and removal of ectopic tissue.
- Accurate histopathological diagnosis is essential for guiding appropriate pediatric surgical management.