Umbilical Granuloma (UG)

  • Mohamed Fahmy
Chapter

Abstract

The umbilical cord normally separates within 3 days to 2 months postpartum; after separation, an excess of granulation tissue may persist at the base of the umbilical stump, which may aggregate and persist, for sometimes, to form an umbilical granuloma (UG). These granulomas are common at neonatal period and consist of true granulation tissue with fibroblasts and abundant capillaries, and their surfaces often have a pedunculated appearance. Persistent drainage from the base of the cord or chronic periumbilical inflammation unresponsive to the usual therapy for omphalitis is a suggestive cause of UG formation. A patent urachus, an omphalomesenteric duct, umbilical polyps and neoplastic swellings of the umbilicus should be considered in the differential diagnosis of UG. Conservative measures may be successful for treatment of UG; silver nitrate and different other materials were described for treatment, but I recommend bipolar cauterization for excision of this granuloma, to remove it in one sitting and to have a precise histopathological diagnosis. Rarely adults may develop UG secondary to omphalitis or omphalolithis.

Keywords

Granuloma Umbilical stump Umbilical wart Umbilical horn Talc granuloma Silver nitrate Cryosurgery Electrocautery Double ligatures 

Supplementary material

Video 27.1

Video showing the procedure of cauterisation of UG (MPG 21787 kb)

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Mohamed Fahmy
    • 1
  1. 1.Pediatric SurgeryAl Azher University Pediatric SurgeryCairoEgypt

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