Umbilical mucosal polyp in an infant: a rare entity Mimicking umbilical granuloma
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Abstract:
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.Keywords:
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Single umbilical artery
Umbilical hernia
Gastroschisis
The umbilicus is the remnant of the connection between the foetus and the dam. During the first few days of life, the umbilicus is the major portal of entry of micro-organisms into the neonate. Contamination of the umbilicus and failure of passive transfer of immunoglobulins are the factors most likely responsible for the development of umbilical infections. Infection can be limited to the extra-abdominal umbilicus or can include the liver or bladder following spread of the infection via the umbilical remnants into the abdominal cavity. Infection of the extra-abdominal umbilicus can be treated conservatively with local disinfectants and parenteral antimicrobial treatment, but hernias and infections of the umbilical remnants should be treated surgically.
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Abdominal cavity
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Umbilical hernia
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Introduction: Umbilicus construction is usually needed post umbilical or Para umbilical hernia repair and in some techniques the umbilicus needs reconstruction after exploratory laparotomy. There are many techniques for umbilical reconstruction and the common objective of all these techniques is to mention umbilicus that looks natural in terms of location, size and depth. And avoid ischemic necrosis of the edges of the umbilicus flap. The author in this study described a new and simple technique for umbilical reconstruction. Patients and methods: The present study included 50 cases who were subjected to anterior abdominal wall incision (umbilical, Para umbilical or midline incision) Crimean Medical Academy named after S.I. Georgievsky Crimean Federal University named after V.I. Vernadsk Russia in department of general and gastrointestinal surgery. The study started from January 2012 to may 2015. End points: The primary end point of the study was the aesthetic appearance of the new umbilicus and the second end point was patient satisfaction of the operative outcome. Results: Over 50 cases of midline abdominal incision we performed reconstruction of the umbilicus with a new and simple technique. There were 40 females and 10 males with age ranging from 28 to 52 years with the mean value as 40 ± 7.35 years. Conclusion: The technique for reconstruction of the umbilicus presented in the present study is a simple technique without complications, with long term success and good aesthetic appearance. The new constructed umbilicus exhibits appropriate features of both depth and size and avoids the appearance of scarring and secondary stenosis or necrosis.
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Umbilical hernia
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Key Clinical Message Gastroschisis is a full‐thickness congenital abdominal wall defect usually occurring to the right of the umbilicus. About twenty cases of left‐sided gastroschisis have been reported, without reference to the laterality of the umbilical vein. This first case highlights the importance of considering and reporting this association by the perinatal team.
Gastroschisis
Abdominal wall defect
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Since the umbilicus is located on the surface of the body, many patients visit plastic surgeons for concerns regarding umbilical disorders. We performed a retrospective review of our clinical cases to characterize the types of umbilical lesions treated by plastic surgeons. The majority of lesions that we treated were common in the field of plastic surgery, such as umbilical hernia, skin tumors, and omphalitis with urachal remnants. However, there was a peculiar case of a patient who presented with rectal cancer with umbilical metastases. Metastasis of a visceral malignancy to the umbilicus is known as Sister Mary Joseph's nodule, and it is associated with a poor prognosis. The patient presented with gastrointestinal perforation at the time of initial examination, indicating that some patients who visit plastic surgeons for umbilical lesions may require immediate medical treatment. While urachal remnants are common cystic lesions of the umbilicus, there are some rare cases of patients who present with remnants of the umbilical artery. We also examined the incidence of umbilical artery remnants. Here, we report cases of patients with umbilical lesions in order to identify rare lesions that may otherwise be missed during regular clinical examinations.
Umbilical hernia
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Umbilical artery
Nodule (geology)
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Gastroschisis
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Poster: ECR 2019 / C-2848 / Umbilicus—a Navel place- common and uncommon lesions at the umbilicus in adults by: N. El Saeity 1, J. E. Stepien2, N. Ramesh3; 1Cheshire/UK, 2Garbatka/PL, 3Portlaoise/IE
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Umbilical hernia
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Palpation
Umbilical hernia
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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.
Navel
Single umbilical artery
Umbilical hernia
Gastroschisis
Cite
Citations (2)