Limits...
Persistent umbilical discharge from an omphalomesenteric duct cyst containing gastric mucosa.

Tamilselvan K, Mohan A, Cheslyn-Curtis S, Eisenhut M - Case Rep Pediatr (2012)

Bottom Line: It is important to investigate if such a discharge is due to an underlying congenital abnormality because corrective surgical intervention may then be required.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatrics, Luton and Dunstable Hospital NHS Foundation Trust, Lewsey Road, Luton LU4 0DZ, UK.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

Umbilical cyst visualized by ultrasound through the anterior abdominal wall.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3368171&req=5

fig1: Umbilical cyst visualized by ultrasound through the anterior abdominal wall.

Mentions: At 6 months of age, she was rereferred by the general practitioner for persistent umbilical discharge with intermittent blood-stained fluid whilst she had been on her third course of antibiotics. On this occasion a consultant paediatrician reviewed the infant. An ultrasound was requested to investigate for remnants of an omphalomesenteric duct because of the persistence of symptoms. The ultrasound showed a cystic structure of 5 mm diameter with echogenic walls situated deep to the umbilicus (see Figure 1).


Persistent umbilical discharge from an omphalomesenteric duct cyst containing gastric mucosa.

Tamilselvan K, Mohan A, Cheslyn-Curtis S, Eisenhut M - Case Rep Pediatr (2012)

Umbilical cyst visualized by ultrasound through the anterior abdominal wall.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3368171&req=5

fig1: Umbilical cyst visualized by ultrasound through the anterior abdominal wall.
Mentions: At 6 months of age, she was rereferred by the general practitioner for persistent umbilical discharge with intermittent blood-stained fluid whilst she had been on her third course of antibiotics. On this occasion a consultant paediatrician reviewed the infant. An ultrasound was requested to investigate for remnants of an omphalomesenteric duct because of the persistence of symptoms. The ultrasound showed a cystic structure of 5 mm diameter with echogenic walls situated deep to the umbilicus (see Figure 1).

Bottom Line: It is important to investigate if such a discharge is due to an underlying congenital abnormality because corrective surgical intervention may then be required.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatrics, Luton and Dunstable Hospital NHS Foundation Trust, Lewsey Road, Luton LU4 0DZ, UK.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus