What lies beneath; umbilical granuloma or vitello-intestional duct?

Persistence of the vitello-intestinal duct in children is not uncommon. It may present as a thin cord up to the umbilicus, or rarely lead to formation of an umbilical polyp with, or without, a patent diverticulum. It is formed at around eleven days post fertilization. The obliterative process begins at the umbilical end of the duct and extends towards the intestine making Meckel’s diverticulum more likely. This case report is of an infant who had a vitello-intestinal duct, which was treated in primary care on multiple occasions as an umbilical granuloma and then as an umbilical infection.