A child complants of fluid coming out of umbilicus on straining. What is the diagnosis?: (A) Patent Vitellointestinal duct, (B) Urachal fistula, (C) Umbilical Hernia, (D) Gastroschisis
Answer is A. In the human embryo, the vitelline duct, also known as the vitellointestinal duct, the yolk stalk, the omphaloenteric duct, or the omphalomesenteric duct, is a long narrow tube that joins the yolk sac to the midgut lumen of the developing fetus Umbilical and paraumblical abscess can occur in children with presenting complaint of discharge from umbilical region. However, patent vitello intestinal duct presenting as paraumblical abscess is rare phenomenon. Reference: GHAI Essential pediatrics, 8th edition