Remnants of vitello-intestinal duct account for a wide variety of umbilical abnormalities. These include fistula, sinus tract, umbilical adenoma, enterocystoma and congenital bands.[1] Incidence of patent VID is reported as 0.0053%.[2] Patent VID is an infrequent but well known anomaly.[3] Bowel prolapse with patent VID is rare and prolapsing proximal as well as distal loop in a newborn is extremely rare. Although Meckel’s diverticulum is the most common VID anomaly, patent VID is the most common symptomatic embryological defect. [4, 5] Patient may present with the anomaly itself or due to complications like intestinal obstruction secondary to volvulus, intussusceptions or adhesions. Complications of patent VID may be minor like feculent discharge leading to periumbilical skin excoriation. Prolapse occurs if defect is wide enough to allow bowel to come out or due to increased intra-abdominal pressure like cry or cough. Prolapse can be partial or complete. The condition requires identification and early management to avoid complications. Cord tying in such neonates should be done with great care using sterile thread to prevent injury to the prolapsed bowel. Resection anastomosis following reduction of the prolapse loop by a circum-umbilical incision is the treatment of choice though other surgical approaches may be adopted.

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