Persistent Umbilical Discharge from an Omphalomesenteric Duct Cyst Containing Gastric Mucosa

Tamilselvan, Kanimozhi; Mohan, Arunodaya; Cheslyn-Curtis, S.; Eisenhut, Michael

doi:10.1155/2012/482185

Cited by 13 publications

(8 citation statements)

References 7 publications

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“…1 Remnants of the OMD may persist in approximately 2% of the population, the most common presentation being Meckel's diverticulum. Symptoms occur most frequently during childhood years and vary greatly, as patients may be asymptomatic, have abdominal pain, painless rectal bleeding, or intussusception/prolapse of ileum at the umbilicus, among others.…”

Section: Descriptionmentioning

confidence: 99%

“…Symptoms occur most frequently during childhood years and vary greatly, as patients may be asymptomatic, have abdominal pain, painless rectal bleeding, or intussusception/prolapse of ileum at the umbilicus, among others. [1][2][3] An accurate diagnosis and management of this condition, with a highly unusual presentation, is important as it may lead to invagination of the small bowel and intestinal obstruction, with a significant increase in mortality. 2 Learning points ▸ A patent omphalomesenteric duct, although rare, may be easily identifiable in the newborn period, such as in an incidental finding after sectioning the umbilical cord.…”

Section: Descriptionmentioning

confidence: 99%

See 1 more Smart Citation

Patent omphalomesenteric duct: sectioning the unexpected

Periquito¹,

Marques

Lima

et al. 2014

BMJ Case Reports

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Section: Descriptionmentioning

confidence: 99%

Section: Descriptionmentioning

confidence: 99%

Patent omphalomesenteric duct: sectioning the unexpected

Periquito¹,

Marques

Lima

et al. 2014

BMJ Case Reports

View full text Add to dashboard Cite

“…The umbilicus is associated with the embryologic development of the gastrointestinal tract, urinary tract [ 3 , 9 , 16 ], and umbilical vessels ( Fig. 6 ).…”

Section: Discussionmentioning

confidence: 99%

“…US is easily accessible, does not require sedation, does not expose the child to radiation, and provides superior near-field resolution, especially for superficial soft tissue lesions. The US characteristics of umbilical granulomas and umbilical polyps have been described in a few previous studies [ 3 , 11 , 16 ]. However, to our knowledge, no investigations have been conducted regarding the differential diagnosis of umbilical granulomas and umbilical polyps.…”

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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“…An extensive review of the medical literature has brought to our notice only 3 cases of umbilical cysts, six year old presenting as umbilical mass, 4 two year old girl presenting as umbilical nodule, 5 and six month old baby presenting as persistent umbilical discharge. 6 …”

Section: Discussionmentioning

confidence: 99%

Bruises around the Umbilicus in an Infant

2016

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The most common causes of umbilical discharge in infancy are infection and umbilical granuloma that may be treated by antibiotics and topical application of silver nitrate subsequently. If the umbilical discharge persists or if there is any abnormal discoloration around the umbilicus, it is important to investigate for underlying congenital abnormality that may be cured by surgical intervention. Unusual presentation of omphalomesenteric duct cyst has been reported in literature. We report, for the first time as far as our search is concerned, a case of a 16-month-old infant who presented initially with persistent umbilical discharge and finally with bruising around the umbilicus in keeping with Cullen’s sign. A diagnosis of omphalomesenteric duct cyst containing pancreatic tissue was made on histopathological examination. This case emphasizes that, a persistent umbilical discharge and or discoloration around the umbilicus should be further investigated and an omphalomesenteric duct cyst can present as Cullen’s sign.

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Persistent Umbilical Discharge from an Omphalomesenteric Duct Cyst Containing Gastric Mucosa

Cited by 13 publications

References 7 publications

Patent omphalomesenteric duct: sectioning the unexpected

Patent omphalomesenteric duct: sectioning the unexpected

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

Bruises around the Umbilicus in an Infant

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