Challenges in umbilical pathology: far beyond the obvious-a case report.
Mariana Salomé Pereira Martins1,2, Diogo Miranda1,3, Ana Filipa Mouro1,4
1Department of Pediatrics, Unidade Local de Saúde Entre Douro e Vouga, Santa Maria da Feira, Portugal.
AME Case Reports
|February 16, 2026
Summary
Persistent umbilical abnormalities in newborns may indicate rare patent urachus, a congenital anomaly. Early ultrasound (US) diagnosis is crucial for appropriate management and to avoid misdiagnosis of this uncommon neonatal condition.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Medical Imaging
Background:
- Umbilical disorders in neonates are often benign, including granulomas, hernias, and inflammation.
- Persistent or atypical umbilical findings can suggest rare congenital anomalies, such as incomplete urachal or omphalomesenteric duct involution.
- Early identification of these anomalies is vital to prevent misdiagnosis and delayed treatment.

