Case of Umbilical Granuloma: Diagnosis and Management

2 mn read

Following is the case presentation of Umbilical Granuloma:

Case History

A 2 year old male child presented with this moist and pink tissue popping out of the umbilicus.  Patient complained of  minimal amounts of drainage and irritation of the surrounding skin. This swelling started appearing from 3rd month. It was initially small but started growing in size gradually. Patient was initially advised topical application of silver nitrate but it did not resolve with conservative management. It was surgically excised.

Case of Umbilical Pyogenic Granuloma

Umbilical Granuloma

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). Umbilical granuloma is the most common umbilical problem in neonates and young infants.
 

Differential Diagnosis 

 
  • Patent urachus
  • Omphalomesenteric duct
  • Umbilical polyps 
  • Neoplastic swellings 
 

Umbilical Granuloma : Management Options

 
  • Chemical cauterization with silver nitrate or copper sulphate.
  • Topical application of common salt / 82% ethanol or Clobetasolpropionte.
  • Electric cauterization.
  • Cryocauterization.
  • Surgical excision.

In a systemic review of Eleven RCTs (n = 890) for the usage, effectiveness and side effects of silver nitrate, topical steroids, ethanol wipes, electrocautery, cryocautery, copper sulphate and common salt were included. Common salt was found to having achieved resolution in >90% of cases in five studies and 54-80% in two studies. Topical steroids, silver nitrate, copper sulphate and cryocautery were found to having achieved resolution in >90% and ethanol wipes in 50-65% of cases. However, local side effects reported with topical steroids, silver nitrate, cryocautery and electrocautery varied in each study. Salt application did not cause side effects. 

Other Interesting Posts:

One thought on

Case of Umbilical Granuloma: Diagnosis and Management

Ask a Question or Write what do you feel about this post!!

Do more at World Surgery Forum
Explore More Surgery Topics You Like

Best Surgery Books

BEST BOOKS FOR MRCS PART A

  1. MRCS Part A: Essential Revision Notes: Book 1
  2. MRCS Part A: Essential Revision Notes: Book 2
  3. MRCS Practice Papers Part A: Paper 1 SBAs
  4. MRCS Practice Papers Part A: Paper 2 EMQs
  5. Rush University Medical Center Review of Surgery
  6. Bailey & Love Companion Guide Mcqs & Emqs In Surgery
  7. SBA MCQs and EMQs for the MRCS Part A Pack: 2
  8. Basic Science for the MRCS: A revision guide for surgical trainees
  9. Oxford Handbook of Clinical Surgery
  10. Get Through MRCS Part A: SBAs
  11. Mrcs Module 2016 Question With Explanations For Mrcs The Best Question Series
  12. EMQs and Data Interpretation Questions in Surgery

BEST BOOKS FOR MRCS PART B

  1. DrExam Part B MRCS OSCE Revision Guide: Book 1
  2. DrExam Part B MRCS OSCE Revision Guide: Book 2
  3. OSCEs for the MRCS Part B: A Bailey & Love Revision Guide
  4. Succeeding in the MRCS Part B Exam: Essential revision notes for the OSCE format
  5. Get Through MRCS: Anatomy 2E
  6. Clinical Anatomy: Applied Anatomy for Students and Junior Doctors by Harold Ellis
  7. Essential Radiological Anatomy for the MRCS
  8. Surgical Critical Care: For the MRCS OSCE by Mazyar Kanani and Simon Lammy
  9. Surgical Critical Care Vivas by Mazyar Kanani
  10. Mcminn’s Color Atlas of Human Anatomy
  11. Netter’s Atlas of Human Anatomy

 

BEST MCQ BOOKS FOR GENERAL SURGERY

  1. Surgery Essence By Pritesh Singh
  2. Surgery Sixer for NBE by Rajamahendran 4th ed (2019)
  3. Bailey & Love Companion Guide Mcqs & Emqs In Surgery
  4. Schwartz’s Principles of Surgery ABSITE and Board Review
  5. Surgery PreTest Self-Assessment and Review, 13th ed
  6. SURGERY COMPLETE – 2019
  7. Surgery For PGMEE 13th Edition – 2019 by Amit Ashish

BEST TEXTBOOKS FOR GENERAL SURGERY

  1. Bailey & Love’s Short Practice of Surgery, 27th Edition
  2. Sabiston’s Textbook of Surgery
  3. Schwartz’s Principles Of Surgery
  4. SRB’S Manual Of Surgery

BEST BOOKS FOR OPERATIVE SURGERY

  1. Operative Techniques in Surgery by Michael W. Mulholland et al
  2. Chassin’s Operative Strategy in General Surgery
  3. Farquharson’s Textbook of Operative General Surgery, 10th Edition

"To be great, a surgeon must have a fierce determination to be the leader in his field. He must have a driving ego, a hunger beyond money. He must have a passion for perfectionism. — Donald B. Effler"

World Surgery Forum – Disclaimer
The information given on this page is for educational purposes only and should not be a substitute for professional medical advice. Do not use this information to diagnose or treat your problem without consulting your doctor. This site respects copyright and does not offer any free ebook downloads. The site and posts may contain amazon links of surgery books and products we love.
Subscribe to WSF via Email

Enter your email address to subscribe and receive notifications of new posts by email.

Join 27,829 other subscribers

Check out our Social links for regular updates

WorldSurgeryForum.net has been created by a group of Surgeons and Students, just like you. To create the best possible surgery reference and a teaching site, you can help by sharing some of your expertise, experiences, case reports, surgical images and Surgery Youtube videos. By pooling our collective knowledge and experience, we can make a real difference in how people all over the world are managed for various surgical ailments . Every new article, every case, and every image or video counts.

%d bloggers like this: