L'esperienza che insegna
UO di Pediatria e Nido, Presidio Ospedaliero San Giacomo d’Altopasso, Licata, ASP di Agrigento
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Key words: Patent urachus, Urachal anomalies, Umbilical granuloma
The urachus is a normal embryonic remnant of the primitive bladder dome and extends upward from the anterior dome of the bladder toward the umbilicus. Urachal remnant diseases are rare and manifest with nonspecific abdominal or urinary signs and symptoms. The present paper reports a case of patent urachus, diagnosed at 11 days of age, in a newborn with umbilical discharge and an umbilical cord cyst found by fethal sonography in the second and third trimesters of pregnancy. Umbilical discharge in infancy is often attributed to infection or 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.
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