umbilical discharge in a child

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Cause Age at presentation Diagnostic features
omphalitis Neonatal

Purulent discharge

Periumbilical skin inflammation

Umbilical granuloma Neonatal Homogenous granuloma with discharge
Umbilical hernia ulceration Neonatal Skin breakdown and purulent discharge (with or without faeculent material)
Patent urachus, urachal cyst Any age Urine in discharge (in patent urachus), presence of second lumen in umbilical cord, purulent discharge, and mass
Patent omphalomesenteric duct remnants Neonatal to early childhood Serosanguinous, feculent, or bilous discharge, presence of second lumen in umbilical cord

Reference:

  • 1) Martin MS, Lembo RM. A 17-year-old boy with umbilical discharge. Hospital Physician 2004; 40:19-25..

Last reviewed 01/2018

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