Internal herniation due to an omphalomesenteric duct cyst in a 69-year-old man

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.

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Intestinal Obstruction Due to Omphalomesenteric Duct Cyst in an Adult Patient: Case Report

Turkiye Klinikleri Journal of Case Reports ◽

10.5336/caserep.2014-40074 ◽

2015 ◽

Vol 23 (3) ◽

pp. 332-334

Author(s):

Burhan MAYIR ◽

Ümit KOÇ ◽

Uğur DOĞAN ◽

Tuna BİLECİK ◽

Arif ASLANER

Keyword(s):

Case Report ◽

Intestinal Obstruction ◽

Adult Patient ◽

Patient Case ◽

Duct Cyst ◽

Omphalomesenteric Duct

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Persistent Umbilical Discharge from an Omphalomesenteric Duct Cyst Containing Gastric Mucosa

Case Reports in Pediatrics ◽

10.1155/2012/482185 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 4

Author(s):

Kanimozhi Tamilselvan ◽

Arunodaya Mohan ◽

Sarah Cheslyn-Curtis ◽

Michael Eisenhut

Keyword(s):

Gastric Mucosa ◽

Gastric Acid ◽

Congenital Abnormality ◽

Surgical Intervention ◽

Ectopic Gastric Mucosa ◽

Surgical Removal ◽

Duct Cyst ◽

Omphalomesenteric Duct ◽

First Case

Umbilical discharge in infancy is often attributed to infection or an umbilical granuloma. It is important to investigate if such a discharge is due to an underlying congenital abnormality because corrective surgical intervention may then be required. We present the first case of an infant with a persistent umbilical discharge from an omphalomesenteric duct cyst. The discharge was associated with periumbilical dermatitis. The dermatitis was most likely due to irritation of the skin by gastric acid produced by the ectopic gastric mucosa contained in the omphalomesenteric duct cyst. Both discharge and dermatitis resolved after surgical removal of the cyst.

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