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Persistent umbilical discharge from an omphalomesenteric duct cyst containing gastric mucosa

Kanimozhi Tamilselvan1, Arunodaya Mohan, Sarah Cheslyn-Curtis

  • 1Department of Paediatrics, Luton and Dunstable Hospital NHS Foundation Trust, Lewsey Road, Luton LU4 0DZ, UK.

Case Reports in Pediatrics
|June 14, 2012
PubMed

Insights

Persistent umbilical discharge in infants can signal a congenital abnormality. This case highlights an omphalomesenteric duct cyst causing discharge and dermatitis, resolved by surgery.

Area of Science:

  • Pediatric Surgery
  • Neonatology
  • Developmental Biology

Background:

  • Umbilical discharge in infants is commonly linked to infection or umbilical granuloma.
  • Investigating congenital abnormalities is crucial as they may necessitate surgical correction.

Observation:

  • A case of persistent umbilical discharge and periumbilical dermatitis in an infant is presented.
  • The discharge originated from an omphalomesenteric duct cyst.
  • Ectopic gastric mucosa within the cyst likely caused dermatitis via gastric acid irritation.

Findings:

  • The omphalomesenteric duct cyst was identified as the source of persistent umbilical discharge.
  • Surgical excision of the omphalomesenteric duct cyst led to the complete resolution of both umbilical discharge and periumbilical dermatitis.

Implications:

  • This case underscores the importance of considering congenital anomalies, such as omphalomesenteric duct cysts, in infants with persistent umbilical discharge.
  • Early diagnosis and surgical intervention can effectively manage omphalomesenteric duct cysts and associated symptoms.
  • Highlights a rare cause of neonatal umbilical abnormalities and periumbilical dermatitis.

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