Umbilical mass resembling ram's horn: An unusual presentatio
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Case Report
An 11-day-old male newborn was brought to the pediatric emergency unit with complaints of fever, sudden onset of profuse bleeding from the umbilicus, and swelling over nape of the neck. On admission, remnants of umbilical cord were removed and local pressure was applied at the bleeding site so as to stop oozing of blood. Baby had cellulitis over nape of the neck, for which incision and drainage was done on the day of admission.

On day 12th, fecal matter was seen coming out of the umbilicus. Following this, a red-colored mass resembling Ram's horn was seen protruding from the umbilicus. The mass was irreducible and bled on touch. The general condition deteriorated and baby went into hypotensive shock. After fluid resuscitation, laparotomy was performed under general anesthesia. A small, transverse incision of 5 cm was made just above the umbilicus. The outer surface of the emerging loop was free of any adhesion to the anterior abdominal wall. It was seen that a single loop of small intestine was prolapsing through the umbilicus giving rise to Ram's horn-like mass to the exterior....

http://www.jcnonweb.com/article.asp?issn=2249-4847;year=2017;volume=6;issue=1;spage=40;epage=42;aulast=Dipak
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