%0 Case Reports
%T Persistent omphalomesenteric duct in an infant with trisomy 21.
%A Aghababaie A
%A Ho J
%A Kelay A
%A Salt P
%J BMJ Case Rep
%V 17
%N 5
%D 2024 May 8
%M 38719262
暂无%R 10.1136/bcr-2024-259671
%X 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.