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May 28, 1982

Vitelline Duct Remnant Appearing as a Hemorrhagic Umbilical Mass

JAMA. 1982;247(20):2812-2813. doi:10.1001/jama.1982.03320450046033

MECKEL'S diverticulum is a frequently seen variation of persistent vitelline duct remnant (omphalomesenteric duct) in infancy and childhood. Various forms have been documented and are rather familiar to the medical profession. Recently I encountered a new form of vitelline duct remnant appearing as an umbilical hematoma.

Report of a Case  A 1-year-old boy was admitted to the pediatric ward and subsequently scheduled for a reparative operation for a possible umbilical hematoma or hernia. He had been well since birth until two months before admission. Following trauma to his umbilical area (he accidentally bumped into the corner of a desk), an umbilical swelling developed and gradually increased in size. The patient was the second child of the family, and no other contributory factor was known.The skin was intact except for some ecchymosis overlying the supraumbilical swelling, which was most prominent with the patient in the standing position.At operation, after