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.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
