Ultrasound of the discharging umbilicus

Boothroyd, A. E.; Cudmore, R.E.

doi:10.1007/bf01395717

Cited by 18 publications

(12 citation statements)

References 6 publications

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“…This should include ultrasound and Meckel's scan. Ultrasound is the first-line investigation to detect congenital anomalies affecting the umbilicus [9], and it can guide appropriate management as shown by our paper.…”

Section: Discussionmentioning

confidence: 99%

Persistent Umbilical Discharge from an Omphalomesenteric Duct Cyst Containing Gastric Mucosa

Tamilselvan

Mohan

Cheslyn-Curtis

et al. 2012

Case Reports in Pediatrics

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Umbilical discharge in infancy is often attributed to infection or an umbilical granuloma. It is important to investigate if such a discharge is due to an underlying congenital abnormality because corrective surgical intervention may then be required. We present the first case of an infant with a persistent umbilical discharge from an omphalomesenteric duct cyst. The discharge was associated with periumbilical dermatitis. The dermatitis was most likely due to irritation of the skin by gastric acid produced by the ectopic gastric mucosa contained in the omphalomesenteric duct cyst. Both discharge and dermatitis resolved after surgical removal of the cyst.

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Section: Discussionmentioning

confidence: 99%

Persistent Umbilical Discharge from an Omphalomesenteric Duct Cyst Containing Gastric Mucosa

Tamilselvan

Mohan

Cheslyn-Curtis

et al. 2012

Case Reports in Pediatrics

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“…The reason could be that infants in this study may have recurrent umbilical problems because almost all infants admitted to our clinic showed the pathology of late separation of the umbilical cord or inflammation or underlying problems of the umbilicus. The umbilical granuloma is the most common cause of a discharge from the umbilicus [6]. It is not a congenital defect; it shows persistent inflammation of the granulation tissue, which has not yet epithelialized [4].…”

Section: Discussionmentioning

confidence: 99%

Umbilical discharge in neonates: A case-based management protocol performed from a different perspective

Ertürk¹

2018

Eu Clin Anal Med

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Aim: This study aimed to retrospectively investigate causes of umbilical discharge (UD), its clinical course, treatment modalities and follow-up in infants with UD complaints in a major teaching hospital in Turkey. Material and Method: Infants with an UD complaint who were referred to our clinic by a pediatrician or a family physician from January 2013 to June 2014 were investigated. Results: The study included 291 infants between the ages of 3 and 114 days. Of these infants, 194 (67%) had an umbilical granuloma, 83 (28.3%) had an umbilical polyp, and 14 (4.8%) had omphalitis. Among 14 infants with omphalitis who were treated with topical antibiotics, six infants had refractory or recurrent discharge and ultrasonography (US) was performed which revealed a 1-3 mm sized cystic appearance with no connection to the peritoneum or other tissues. These infants received systemic antibiotics in addition to topical antibiotics. During the follow-up period, cystic appearance was not present in US in three of these six patients and in the remaining three patients who did not present for follow-up we learned via phone calls that their complaints had not recurred. Discussion: Cauterization using a silver nitrate pencil was sufficient in the umbilical granuloma. Ligating, excising and cauterizing the base of the lesions was sufficient in an umbilical polyp. In cases with persistent or recurrent UD, high-resolution US should be primarily performed, which may direct the subsequent management.

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“…In about 30% of cases an urachal cyst is present, consisting of a cystic cavity of the median umbilical ligament, closed off in its umbilical and vesical ends. An infected urachal cyst is the most usual presentation in the adult [2,6,7].…”

Section: Discussionmentioning

confidence: 99%

Urachal Abscess Clinically Mimicking a Malignancy

Pedro¹

2014

J Clin Exp Pathol

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Ultrasound of the discharging umbilicus

Cited by 18 publications

References 6 publications

Persistent Umbilical Discharge from an Omphalomesenteric Duct Cyst Containing Gastric Mucosa

Persistent Umbilical Discharge from an Omphalomesenteric Duct Cyst Containing Gastric Mucosa

Umbilical discharge in neonates: A case-based management protocol performed from a different perspective

Urachal Abscess Clinically Mimicking a Malignancy

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