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An infraumbilical lump in a child
  1. Susan Shelmerdine,
  2. Vaishnavi Batmanabane,
  3. Govind Chavhan
  1. Department of Diagnostic Imaging, The Hospital for Sick Children, Toronto, Ontario, Canada
  1. Correspondence to Dr Susan Shelmerdine, Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada; Susan.shelmerdine{at}sickkids.ca, susie.shelmerdine{at}gmail.com

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Clinical introduction

A 13-month-old boy was brought to the emergency department by his mother with a 2-day history of a painless, firm lump located in the midline of his abdomen, just inferior to the umbilicus. The lump was skin coloured, not hyperaemic and non-reducible.

The patient was afebrile without any change in bowel habits or any preceding illness. Apart from a history of being born at 32 weeks’ gestational age and spending …

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