Patent Vitellointestinal Duct: A Close Differential Diagnosis of Umbilical Granuloma: A Case Report and Review of Literature
Saurabh Piparsaliya, Milind Joshi, Nitin Rajput, Priti Zade
DOI: 10.4236/ss.2011.23027   PDF    HTML     12,690 Downloads   25,412 Views   Citations


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.

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S. Piparsaliya, M. Joshi, N. Rajput and P. Zade, "Patent Vitellointestinal Duct: A Close Differential Diagnosis of Umbilical Granuloma: A Case Report and Review of Literature," Surgical Science, Vol. 2 No. 3, 2011, pp. 134-136. doi: 10.4236/ss.2011.23027.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] A. Pomeranz, “Anomalies, Abnormalities, and Care of the Umbilicus,” Pediatric Clinics of North America, Vol. 51, No. 3, 2004, pp. 819-827. doi:10.1016/j.pcl.2004.01.010
[2] K. A. O’Donnell, P. L. Glick and M. G. Caty, “Pediatric Umbilical Problems,” Pediatric Clinics of North America, Vol. 45, No. 4, 1998, pp. 791-799. doi:10.1016/S0031-3955(05)70045-6
[3] B. P. Van Bezooijen, H. J. van der Horst and C. Slee-boom, “The Wet Umbilicus: Maybe Not an Umbilical Granuloma?” Ned Tijdschr Geneeskd. Vol. 146, No. 29, 2002, pp. 1345-1348.
[4] J. Campbell, S. W. Beasley, N. McMullin and J. M. Hutson, “Clinical Diagnosis of Umbilical Swellings and Discharges in Children,” The Medical Journal of Austra-lia, Vol. 145, No. 9 1986, pp. 450-453.
[5] N. J. Khati, E. G. Enquist and M. C. Javitt, “Imaging of the Umbilicus and Periumbilical Region,” Radiographics, Vol. 18, No. 2, 1998, pp. 413-431.
[6] A. E. Boothroyd and R. E. Cudmore, “Ultrasound of the Discharging Umbilicus,” Pediatric Radiology, Vol. 26, No. 5, 1996, pp. 362-364. doi:10.1007/BF01395717

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