A neonate has a small reducible protrusion through a defined ring at the umbilicus. His pediatrician indicates to the parents that this will likely close spontaneously. Which of the following congenital malformations is present?
In most case, an umbilical hernia closes spontaneously by age 4 and requires no surgery unless there is incarceration. A symptomatic patent urachus (drainage of urine at the umbilicus) is typically surgically excised. A patent omphalomesenteric duct (Meckel diveiculum) is promptly repaired to minimize the potential for intestinal obstruction or prolapse. Omphalocele and gastroschisis are defects that require surgical repair.
Umbilical hernia
Symptomatic patent urachus
Patent omphalomesenteric duct
Omphalocele
Umblicial cord and diaphragm