Patent Vitello-intestinal Duct with Umbilical Abscess- A Rare Case Presentation

Patent vitellointestinal duct (PVID) presenting with an umbilical abscess is a rare entity. PVID occurs as a result of the failure of regression of the omphalomesenteric duct by the ninth week of the gestational period. At birth, it may present as a bulky umbilical cord, umbilical swelling which may be associated with discharge. We present here a rare case of a three and half-year-old female child presenting with a complaint of large umbilical swelling associated with pain and discharge. On exploratory laparotomy, a completely patent tract joining umbilicus to ileum was found. The tract was excised, and appropriate closure was done. The patient recovered well over a period of two weeks without any complications.