Differential Diagnosis for 2 Month Old Umbilical Protrusion
- Single Most Likely Diagnosis
- Umbilical Hernia: This is the most common cause of umbilical protrusion in infants, especially at 2 months of age. It occurs when part of the intestine bulges through an opening in the abdominal muscles near the umbilicus, often due to a weakness in the muscle wall that hasn't closed completely after birth.
- Other Likely Diagnoses
- Omphalocele (Exomphalos): A congenital anomaly where the intestines or other organs protrude through the navel due to a defect in the development of the abdominal wall. It's less common than umbilical hernia but should be considered.
- Gastroschisis: Another congenital defect where the intestine protrudes through a small hole in the abdominal wall, usually to the right of the belly button. It's less likely than omphalocele or umbilical hernia in this context but is a possibility.
- Do Not Miss Diagnoses
- Intestinal Obstruction: Although less common, any umbilical protrusion could potentially lead to or be a sign of intestinal obstruction, which is a medical emergency. Early recognition and intervention are crucial.
- Infection or Sepsis: Infection of the umbilical stump or surrounding tissues can lead to serious complications, including sepsis. Prompt diagnosis and treatment are essential.
- Rare Diagnoses
- Patent Urachus: A rare condition where there's a persistent connection between the bladder and the umbilicus, which can cause a protrusion or discharge. It's less likely but should be considered in the differential diagnosis.
- Congenital Umbilical Anomalies (e.g., umbilical polyp, congenital umbilical granuloma): These are rare conditions that could present with an umbilical protrusion and should be considered if common causes are ruled out.