Rationale: Patent vitellointestinal duct is the most common omphalomesenteric duct anomaly to present with symptoms.
Patient Concerns: A 10-day-old child presented with increase in the size of a polypoidal lesion into a large, "Y"-shaped reddish, prolapsing lesion, discharging gaseous, and fecal matter at her umbilicus. A laparoscopic exploration was performed, followed by wedge resection and anastomosis.