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Persistent omphalomesenteric duct in an infant with trisomy 21
Arameh Aghababaie1, Jennifer Ho2, Arun Kelay3
1Paediatrics, University College London Hospitals NHS Foundation Trust, London, UK a.aghababaie@nhs.net.
Abstract:
We present the case of a term newborn with trisomy 21 who presented to the paediatric emergency department with periumbilical flare and green-brown discharge from a clamped umbilical cord, initially suspected to be omphalitis. However, it was noticed later, that when the infant strained or cried, a thick, bubbling and offensive green-brown discharge came out of the clamped umbilical cord with umbilical flatus. An ultrasound abdomen and umbilical cord confirmed the presence of a persistent omphalomesenteric duct (POMD). He was then transferred to the paediatric surgical unit. There, he underwent a laparotomy and surgical resection of the POMD and was discharged home 2 days later.
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