PDF(Pubmed)
Abstract：
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.
摘要：
我们介绍了患有21三体综合征的足月新生儿的病例，该病例出现在儿科急诊科，脐周耀斑和夹脐带的绿棕色分泌物，最初怀疑是脐炎。然而,后来注意到了，当婴儿紧张或哭泣时，一个厚厚的，冒泡和令人讨厌的绿色棕色分泌物从脐带肛门的脐带中流出。超声腹部和脐带证实存在持续的脐肠管（POMD）。然后他被转移到儿科外科。在那里,他接受了POMD的剖腹手术和手术切除，2天后出院。
