[The clinical data of infected umbilical sinus]

Area of Science:

• Neonatal Medicine
• Pediatric Surgery
• Clinical Case Reports

Background:

• Umbilical anomalies are rare congenital conditions requiring prompt diagnosis and management.
• Anemia of chronic infection and hematuria can be associated with complex neonatal presentations.
• Septic shock poses a significant risk in neonates with underlying infections.

Observation:

• A three-month-old female infant presented with anemia of chronic infection, hematuria, and an umbilical sinus.
• The infant survived an initial sepsis episode and underwent surgical extirpation of the umbilical sinus.
• Post-operatively, the patient developed and ultimately died from septic shock.

Findings:

• The case highlights the severe complications associated with umbilical sinus, including sepsis and anemia.
• The presented hematuria offers a potential explanation linked to the umbilical anomaly.
• Management challenges and outcomes of umbilical anomalies in neonates are demonstrated.

Implications:

• This case underscores the critical importance of early diagnosis and intervention for umbilical abnormalities.
• Understanding the pathophysiology of associated symptoms like hematuria is crucial for effective treatment.
• The case contributes to the limited literature on severe neonatal outcomes related to umbilical sinus complications.