Bruises Around the Umbilicus in an Infant.

Sam Hassan,Ghassan Nakib,Mary J Saviour

doi:10.4081/pr.2016.6555

Abstract

The most common causes of umbilical discharge in infancy are infection and umbilical granuloma that may be treated by antibiotics and topical application of silver nitrate subsequently. If the umbilical discharge persists or if there is any abnormal discoloration around the umbilicus, it is important to investigate for underlying congenital abnormality that may be cured by surgical intervention. Unusual presentation of omphalomesenteric duct cyst has been reported in literature. We report, for the first time as far as our search is concerned, a case of a 16-month-old infant who presented initially with persistent umbilical discharge and finally with bruising around the umbilicus in keeping with Cullen’s sign. A diagnosis of omphalomesenteric duct cyst containing pancreatic tissue was made on histopathological examination. This case emphasizes that, a persistent umbilical discharge and or discoloration around the umbilicus should be further investigated and an omphalomesenteric duct cyst can present as Cullen’s sign.

Highlights

Charge in infancy are infection and umbilical gal cream
Omphalomesenteric duct cyst remnants are congenital anomalies associated with primitive yolk sac which persists in approximately 2% of population with higher incidence in male 2:1 and the most common to be Meckel’s diverticulum
The omphalomesenteric duct cyst is definite tract seen with bladder with a conclu- discharge, intestinal obstruction, rectal bleedan embryologic remnant of the yolk stalk

Summary

Introduction

Charge in infancy are infection and umbilical gal cream. An umbilical swab culture showed granuloma that may be treated by antibiotics heavy growth of streptococcus agalactciae and Conflict of interest: the authors declare no potenand topical application of silver nitrate subse- treated with a course of amoxicillin. Omphalomesenteric duct cyst remnants are congenital anomalies associated with primitive yolk sac which persists in approximately 2% of population with higher incidence in male 2:1 and the most common to be Meckel’s diverticulum.

Results

Conclusion