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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.
BMJ Case Reports
|May 8, 2024
Summary
A newborn with Down syndrome had a persistent omphalomesenteric duct (POMD) causing umbilical discharge. Surgical resection of the POMD resolved the condition, allowing for a quick recovery.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Medical Genetics
Background:
- A term newborn with trisomy 21 presented with symptoms suggestive of omphalitis.
- Clinical examination revealed a thick, bubbling, and offensive green-brown umbilical discharge, particularly with straining or crying.
- This presentation prompted further investigation beyond initial omphalitis suspicion.
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