Abstract
Umbilical granuloma is a very common cause of umbilical discharge. It is managed by chemical cauterization or simple thread ligation. However, it can be a differential diagnosis of patent vitello intestinal duct and this should be ruled out before managing such patients. We report a case of a 10-week-old male infant referred by his General Practitioner for silver nitrate cauterisation, with a diagnosis of suspected umbilical granuloma (UG). The child underwent subsequent exploratory laparotomy and bowel anastomosis.
Highlights
Discharge from umbilicus is a very common presentation in pediatric age group and umbilical granuloma being the most common differential diagnosis in such patients
Umbilical granuloma is a very common cause of umbilical discharge. It is managed by chemical cauterization or simple thread ligation. It can be a differential diagnosis of patent vitello intestinal duct and this should be ruled out before managing such patients
We report a case of a 10-week-old male infant referred by his General Practitioner for silver nitrate cauterisation, with a diagnosis of suspected umbilical granuloma (UG)
Summary
Discharge from umbilicus is a very common presentation in pediatric age group and umbilical granuloma being the most common differential diagnosis in such patients. It is commonly managed by simple thread ligation of the granuloma or by chemical cauterization. The authors report the case of a 10week-old male infant referred by his General Practitioner for silver nitrate cauterisation, with a diagnosis of suspected umbilical granuloma (UG). A 10-week-old male infant was referred with pink tissue protruding from the umbilicus. The infant was otherwise well with no vomiting, abdominal distension or any other signs of intestinal obstruction He was born at term by emergency caesarean section following failure to progress, to a primigravida mother. Following further assessment by the paediatric surgical team, operative correction has been done for the patent Vitello Intestinal duct
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