Case 26/Picture 28 (01.08.2015.) Could you identify the condition?Answer
It appears as a circular pink-red mass within an inflamed skin fold on the abdomen (umbilicus) of a small child from the Indian sub-continent apparently lying on the bed . Use of the red thread around the abdomen is a prevalent culture in the Indian sub-continent to protect children from illness etc. The differential diagnosis of an umbilical mass includes granuloma, polyp, hernia, dermoid cyst, hemangioma, inclusion cyst, omphalomesenteric remnant, urachal remnant etc. Sister Mary Joseph’s Nodule is extremely unlikely in a child. This is picture of Urachal remnant. Urachal remnants – The developing bladder remains connected to the allantois through the urachus, and remnants of this connection include a patent urachus, urachal sinus, and urachal cyst; umbilical polyps can also be observed in association with a urachal remnant. The presentation of urachal remnants also varies. Clear drainage from the umbilicus is characteristic of a urachal fistula. Drainage of urine from the umbilicus may suggest bladder outlet obstruction and warrants further investigation. A urachal cyst is usually discovered as a painful mass between the umbilicus and suprapubic area when it becomes infected. Pain and retraction of the umbilicus during urination may suggest a urachal anomaly. A urachal sinus manifests with drainage that can be clear or purulent and occurs through the umbilicus or midline skin below the umbilicus.
Tags: Acute abdominal pain, Argyria, Asherman's syndrome, Best Examination Tips, Dermoid Cyst, Ectopic pregnancy following tubal sterilization plus hysterectomy, Elephant Man, Endometrioma, Endometriosis, Fattest woman, Fetus in Fetu, Fibroid uterus, Harlequin ichthyosis, Hydrocephalus, inferior vena cava obstruction, Interesting Medical Cases and Pictures, Macroglossia, Polyostotic fibrous dysplasia, Small pox, Sturge–Weber syndrome, Taj Mahal, Triplets, Uracus, Varicose veins of hand