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Bruises Around the Umbilicus in an Infant
Sam Hassan1, Ghassan Nakib1, Mary J Saviour1
1Departments of Pediatrics and Neonates, Mediclinic City Hospital, Dubai Health Care City , Dubai, United Arab Emirates.
Persistent umbilical discharge in infants can signal serious congenital issues, not just infection. This case highlights an omphalomesenteric duct cyst presenting with Cullen
Area of Science:
- Pediatric Surgery
- Neonatology
- Developmental Biology
Background:
- Umbilical discharge in infants commonly stems from infections or umbilical granulomas, typically managed with antibiotics or silver nitrate.
- Persistent discharge or umbilical discoloration warrants investigation for congenital abnormalities requiring surgical correction.
Observation:
- A 16-month-old infant presented with persistent umbilical discharge, later developing bruising around the umbilicus (Cullen's sign).
- This unusual presentation prompted further investigation beyond common causes.
Findings:
- Histopathological examination confirmed an omphalomesenteric duct cyst containing pancreatic tissue.
- This represents a rare cause of persistent umbilical discharge and Cullen's sign in an infant.
Implications:
- Emphasizes the need for thorough investigation of persistent umbilical discharge and discoloration.
- Highlights omphalomesenteric duct cyst as a potential, albeit rare, cause of these symptoms, including presenting as Cullen's sign.
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