Q:

A 3-month-old baby girl presents with a swollen umbilicus that has failed to heal normally. The umbilicus drains secretions, and there is passage of fecal material through the umbilicus at times. What is the most likely diagnosis?

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A 3-month-old baby girl presents with a swollen umbilicus that has failed to heal normally. The umbilicus drains secretions, and there is passage of fecal material through the umbilicus at times. What is the most likely diagnosis?


  1. Omphalocele
  2. Gastroschisis
  3. Anal agenesis
  4. Ileal diverticulum
  5. Intestinal stenosis

All Answers

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D. This baby girl has an ileal diverticulum (Meckel’s diverticulum), which occurs when a remnant of the vitelline duct persists. In this case, a fistula is present by which contents of the ileum can be discharged onto the surface of the skin.

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