Persistent omphalomesenteric duct in an infant with trisomy 21.

Autor: Aghababaie A; Paediatrics, University College London Hospitals NHS Foundation Trust, London, UK a.aghababaie@nhs.net., Ho J; Paediatrics, University College London Hospitals NHS Foundation Trust, London, UK., Kelay A; Paediatric Surgery, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK., Salt P; Paediatrics, University College London Hospitals NHS Foundation Trust, London, UK.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2024 May 08; Vol. 17 (5). Date of Electronic Publication: 2024 May 08.
DOI: 10.1136/bcr-2024-259671
Abstrakt: 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.
Competing Interests: Competing interests: None declared.
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Databáze: MEDLINE