Question
A patient presents with fecal discharge from the umbilicus. What is the most likely diagnosis?
| A. |
Urachal fistula |
| B. |
Ileal diverticulum |
| C. |
Omphalocele |
| D. |
Gastroschisis |
Show Answer
|
Correct Answer � B Explanation |
 |
– Fecal discharge from the umbilicus indicates a patent ileal diverticulum (Meckel’s diverticulum).
– This involves a persistent vitelline duct (omphalomesenteric duct) connecting the ileum to the umbilicus.
– Other options involve different pathologies:
– Urachal fistula → urine discharge.
– Omphalocele and gastroschisis do not involve fecal discharge.