Omphalomesenteric duct cyst containing gastric mucosa presenting with periumbilical excoriation
A 2-year-old male child presented with umbilical discharge (for 1.5 years), red-brown swelling at the umbilicus (since birth), and severe excoriation around the umbilicus (for 1 year). He was taking medicine from a local practitioner for umbilical swelling for one year. But there was no improvement. Gradually periumbilical excoriation worsened. On examination, the excoriated skin became black. He was investigated for routine hemogram, USG whole abdomen, and pre-anesthetic checkup. Ultrasonography showed umbilical sinus. After optimization, surgery was performed that showed a cystic swelling beneath the umbilicus, opening at the umbilicus. The end of cystic swelling was connected with the distal ileum (site for Meckel's diverticulum) with a fibrous band. The cyst and the band were excised. Umbilicoplasty was done along with layered wound closure. The postoperative period was uneventful. Histopathology of the excised specimen showed a cystic lesion composed of ectopic gastric mucosa surrounded by muscle layer and fibroadipose tissue.
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Copyright (c) 2022 Dr.Dinesh Kumar Barolia, Aditya Pratap Singh , Dr. Harsha Vinod Bathia, Dr. Vipal H Parmar, Dr. Bhavana Asit Mehta, Dr. Shraddha Mehta
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