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A 10-year-old male presented with a long-standing history of functional periumbilical abdominal pain without associated symptoms. Medical history, surgical history and family history were unremarkable. Pertinent findings on examination included normal lower extremity strength and reflexes, no spine abnormality, normal positioned anus with an intact anal wink and undescended testes. The umbilicus was inferiorly displaced with a palpable circular defect. There were prominent soft tissue masses inferior …
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