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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Fluid Discharge From Belly Button?

My grandson has an ileostomy. Recently, he had fluid leakage from his belly button. At first it was clear fluid. He was hospitalized in Boston. They did an ultrasound and cat scan but didnt see anything unusual. They gave his high doses of antibiotics and said it was probably a localized infection. Last week it came back only this time it was green fluid coming out of his belly button. After reaching the Boston doctors again, they put him on antibiotics for 10 days. His bellybutton is not infected. It is coming from inside. What could be doing that?
Wed, 24 Dec 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.

The clear history of a clear fluid and then the green fluid from the belly button is suggestive of a condition called patent urachus or patent vitillo-intestinal duct. This is not easily diagnosed on ultrasonography or even a CT scan.

I would advise the following in such a patient :
Get the examination of the fluid done- the routine, microscopy, culture and sensitivity.
Since the antibiotics are not working , it is better to do an exploratory Laparotomy , see for the underlying cause and get a surgical correction for a permanent cure.
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What Is The Treatment For Fluid Discharge From Belly Button?

Hi. Thanks for your query and an elucidate history. The clear history of a clear fluid and then the green fluid from the belly button is suggestive of a condition called patent urachus or patent vitillo-intestinal duct. This is not easily diagnosed on ultrasonography or even a CT scan. I would advise the following in such a patient : Get the examination of the fluid done- the routine, microscopy, culture and sensitivity. Since the antibiotics are not working , it is better to do an exploratory Laparotomy , see for the underlying cause and get a surgical correction for a permanent cure.