Paediatrics, University College London Hospitals NHS Foundation Trust, London, UK
Paediatrics, University College London Hospitals NHS Foundation Trust, London, UK.
BMJ Case Rep. 2024 May 8;17(5):e259671. doi: 10.1136/bcr-2024-259671.
We present the case of a term newborn with trisomy 21 who presented to the paediatric emergency department with periumbilical flare and green-brown discharge from a clamped umbilical cord, initially suspected to be omphalitis. However, it was noticed later, that when the infant strained or cried, a thick, bubbling and offensive green-brown discharge came out of the clamped umbilical cord with umbilical flatus. An ultrasound abdomen and umbilical cord confirmed the presence of a persistent omphalomesenteric duct (POMD). He was then transferred to the paediatric surgical unit. There, he underwent a laparotomy and surgical resection of the POMD and was discharged home 2 days later.
我们报告了一例 21 三体综合征足月新生儿，因脐周红肿和从夹闭的脐带中排出绿褐色分泌物而到儿科急诊就诊，最初被怀疑为脐炎。然而，后来发现，当婴儿用力或哭泣时，从夹闭的脐带中会排出一股粘稠、冒泡且有异味的绿褐色分泌物，并伴有脐部肠鸣音。腹部和脐带超声检查证实存在持续性脐肠系膜管（POMD）。随后，他被转至儿科外科病房。在那里，他接受了剖腹手术和 POMD 的外科切除，术后 2 天出院回家。
