Patent Vitellointestinal Duct: A Close Differential Diagnosis of Umbilical Granuloma: A Case Report and Review of Literature

Piparsaliya, Saurabh; Joshi, Medha; Rajput, Nitin; Zade, Priti

doi:10.4236/ss.2011.23027

Cited by 9 publications

(9 citation statements)

References 5 publications

(6 reference statements)

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“…Ultrasound and / or Computed is ideally recommended to rule out the associated intra abdominal anomalies, if any [4]. Cauterization of an umbilical polyp with silver nitrate solution or salt application is neither effective nor does it respond to conservative treatment unlike umbilical granuloma which responds to the same after two or three applications of silver nitrate [9].…”

Section: Discussionmentioning

confidence: 99%

Umbilical mucosal polyp in an infant: a rare entity Mimicking umbilical granuloma

Shetty

Shubha

Vijaya

et al. 2018

Trop J Pathol Microbiol

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Umbilical lesions constitute a comparatively lesser percentage of the specimens received on a daily basis for histopathological examination. During embryological development, the umbilicus functions as a channel that allows flow of blood between the placenta and fetus. It also serves an important role in the development of the intestine and the urinary system. After birth, once the umbilical cord falls off, no evidence of these connections should be present. Nevertheless a few lesions are encountered related to the same. Patients with umbilical disorders present with drainage, a mass, or both. Umbilical granuloma, omphalomesenteric remnants, urachal remnants, hernias are few lesions in the umbilical region. We present a case of an umbilical polyp in an infant, which clinically suspected to an umbilical granuloma. The idea behind presenting this case was that, not only are umbilical polyps rare lesions but also it is necessary to differentiate it from umbilical granuloma as the treatments may vary. The clinicians and reporting pathologists must be aware of this rare congenital lesion.

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Section: Discussionmentioning

confidence: 99%

Umbilical mucosal polyp in an infant: a rare entity Mimicking umbilical granuloma

Shetty

Shubha

Vijaya

et al. 2018

Trop J Pathol Microbiol

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“…2 However, urinary, faeculent, or bilious discharge from the umbilicus should raise the suspicion of such an abnormality. Such malformations arise as a result of either persistence of the OMD or malformations of the urachus during fetal development.…”

Section: Discussionmentioning

confidence: 99%

A baby with a discharging umbilical lesion

Javed

Wilson-Jones

2016

BMJ

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“…These lesions can be treated with one or two applications of silver nitrate. If the granuloma is too large or if treatment with silver nitrate fails, the lesion may need to be excised [2,[10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Differential diagnosis of umbilical polyps and granulomas in children: sonographic and pathologic correlations

et al. 2021

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The sonographic differential diagnosis of umbilical polyps and granulomas in children based on correlations with pathologic findings. Methods: We retrospectively analyzed the ultrasonographic findings of twenty-two umbilical masses in children that were pathologically confirmed as umbilical polyps or umbilical granulomas by surgery. We analyzed size, depth, echogenicity, internal content, intralesional vascularity, and the presence of unobliterated medial umbilical ligament. Pathologic correlation was performed for all of the umbilical masses. Results: Twenty-two masses consisted of eight umbilical polyps and fourteen umbilical granulomas. The mean age of the children with umbilical polyps was 30.13 months (range, 2 to 108 months) and it was 1.33 months (range, 0.6 to 3 months) for the children with umbilical granulomas. The average mass sizes were 10.25 mm (range, 5 to 35 mm) for umbilical polyps and 6.21 mm (range, 3 to 10 mm) for umbilical granulomas. The umbilical polyps were manifested as cystic lesions with thick echogenic walls in five patients (62.5%), which were associated with the intestinal mucosa (four lesions) and ectopic pancreatic tissue (one lesion) on pathology. Umbilical granulomas were superficially located in 13 (92.9%) and solid in thirteen (92.9%), which correlated with prominent granulation tissues on pathology. Seven (87.5%) of the eight umbilical granulomas were hypervascular and correlated with neovascularization on pathologic examination. Conclusion: The umbilical polyps revealed deep-seated, hypovascular nodules with cyst formation surrounded by thick echogenic walls. In contrast, the umbilical granulomas revealed superficially located hypervascular hypoechoic solid nodules in young infants.

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Patent Vitellointestinal Duct: A Close Differential Diagnosis of Umbilical Granuloma: A Case Report and Review of Literature

Cited by 9 publications

References 5 publications

Umbilical mucosal polyp in an infant: a rare entity Mimicking umbilical granuloma

Umbilical mucosal polyp in an infant: a rare entity Mimicking umbilical granuloma

A baby with a discharging umbilical lesion

Differential diagnosis of umbilical polyps and granulomas in children: sonographic and pathologic correlations

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