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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 lined by ectopic gastric mucosa.
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fig2: Umbilical cyst lined by ectopic gastric mucosa.

Mentions: There was no communication with the bowel. A fistula extended through the anterior abdominal wall to the umbilicus. She was referred to surgeons for further management. She had a surgical excision of the cyst and sinus tract at 7 months. On macroscopic analysis, it was found to be a hard cystic lesion below the umbilicus surrounded by thick chronic inflammatory tissue. A fistula extended through the abdominal wall with no obvious communication or tract to the peritoneal cavity except for its continuation into the ligamentum teres. Histology showed skin with exudates and ulceration overlying a cystic structure lined by gastric corpus type mucosa in keeping with an umbilical cyst lined by ectopic gastric mucosa (Figure 2). Her postoperative recovery was uneventful, discharge and dermatitis resolved and she was discharged from hospital care.


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 lined by ectopic gastric mucosa.
© Copyright Policy
Related In: Results  -  Collection

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

fig2: Umbilical cyst lined by ectopic gastric mucosa.
Mentions: There was no communication with the bowel. A fistula extended through the anterior abdominal wall to the umbilicus. She was referred to surgeons for further management. She had a surgical excision of the cyst and sinus tract at 7 months. On macroscopic analysis, it was found to be a hard cystic lesion below the umbilicus surrounded by thick chronic inflammatory tissue. A fistula extended through the abdominal wall with no obvious communication or tract to the peritoneal cavity except for its continuation into the ligamentum teres. Histology showed skin with exudates and ulceration overlying a cystic structure lined by gastric corpus type mucosa in keeping with an umbilical cyst lined by ectopic gastric mucosa (Figure 2). Her postoperative recovery was uneventful, discharge and dermatitis resolved and she was discharged from hospital care.

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