As the development progress communication between intra-embryonic gut and yolk sac narrows into a tube called vitellointestinal duct which becomes obliterated by 7th week. A wide variety of anomalies may occur as a result of the vitellointestinal duct failing to obliterate completely. Meckels diverticulum is the commonest while complete patent vitellointestinal duct is rarest malformation. We are presenting a case of patent vitellointestinal duct with umbilical fecal fistula.

Keywords: Patent Vitellointestinal Duct; Umbilical Granuloma; Diverticulum is.