Patent vitellointestinal duct as paraumblical abcess: A rare presentation

Int J Surg Case Rep. 2015:15:30-1. doi: 10.1016/j.ijscr.2015.07.039. Epub 2015 Aug 14.

Abstract

Introduction: Umbilical and paraumblical abscess can occur in children with presenting complaint of discharge from umbilical region. However, patent vitello intestinal duct presenting as paraumblical abscess is rare phenomenon.

Presentation of case: One year old male child presented with complain of discharge from umbilical region since birth. Incision & drainage done twice thinking it to be paraumblical abscess.

Discussion: Vitellointestinal duct as abscess is rare presentation but it should be considered as a differential diagnosis of discharging umbilicus as management of abscess and patent duct are different.

Conclusion: Patent vitellointestinal duct can present as paraumbilical abscess, and it should be kept in differential diagnosis specifically in children.

Keywords: Abscess; Fistula; Vitellointestinal duct.