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Case Reports in Medicine
Volume 2012, Article ID 216345, 2 pages
http://dx.doi.org/10.1155/2012/216345
Case Report

Acquired Umbilico-Inguinal Fistula with Persistent Discharge due to Suture Reaction: A Case Report and Review of the Literature

Department of Pediatric Surgery, Faculty of Medicine, Harran University, 63100 Sanliurfa, Turkey

Received 7 May 2012; Accepted 11 September 2012

Academic Editor: Peter P. Karpawich

Copyright © 2012 Muazez Cevik. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of this paper is to stay a very rare umbilico-inguinal fistula (UIF) resulting from a delayed suture reaction after the use of silk suture to repair an inguinal hernia. A 3-year-old boy presented with persistent umbilical discharge. The initial diagnosis was omphalitis and he was treated with broad-spectrum antibiotics but a UIF was subsequently diagnosed. Surgery was performed to ascertain the cause of the UIF. This case demonstrates that silk suture used in inguinal hernia repair can lead to a UIF, which should be considered in the differential diagnosis of a patient presenting with persistent umbilical discharge.