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Patent urachus along with patent vitellointestinal duct: A very rare combination

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Abstract (2. Language): 
We are presenting herein a rare combination of patent urachus and patent vitellointestinal duct in a 2-month old male child who presented with umbilical discharge since birth with umbilical induration. Ultrasonography suggested an urachal abnormality while cystourethrogram was normal. On exploration there was presence of patent urachus and inadvertent opening of peritoneum showed presence of patent vitellointestinal duct as well. The urachus was completely excised, the PVID resected and ileum anastomosed. Postoperatively patient did well. To the best of our knowledge only 6 cases of patent urachus along with patent vitellointestinal duct have been reported in the literature. Though not making a dictum, a high index of suspicion should be present for the presence of patent vitellointestinal duct while evaluating an infant with serous umbilical discharge with patent urachus.
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REFERENCES

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