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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1257 - 17 April Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
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M53. Irreducible umbilical hernia ?necrotic fat.

Case posted by Dr Richard Carr


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The patient is a male and the histology looks benign. I'm wondering about a urachal cyst/remnant, although this does not fit the age.

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Guest Romualdo

Posted

Umbilical omphalomesenteric duct polyp.

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I think these are Urachal remnants, so my diagnosis is Urchal polyp of the umbilicus.

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Guest Romualdo

Posted

In omphalomesenteric duct polyps the epithelial lining should be enteric or gastric. Abdul-kadir and Igor are probably correct: the epithelial lining present is more consistent with an umbilical urachal polyp.

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Dr. Richard Carr

Posted

Yes I agree and called this a urachal remnant. I had not seen a case previously but it seems to fit nicely. There was also fat necrosis.

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