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[Intestinal polyp of the umbilical cord].

M Guschmann1, J Janda, K Wenzelides

  • 1Abteilung für Paidopathologie und Plazentologie, Charité, Humboldt Universität zu Berlin, Germany. Michael.Guschmann@charite.de

Zentralblatt Fur Gynakologie
|April 6, 2002
PubMed
Summary

An intestinal polyp on the umbilical cord, a rare finding in newborns, can occur due to persistent embryonic ductus omphalomesentericus remnants. This condition requires careful differential diagnosis from other umbilical cord tumors.

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Area of Science:

  • Embryology
  • Pediatric Surgery
  • Gastroenterology

Background:

  • The ductus omphalomesentericus connects the embryonic gut to the yolk sac.
  • Its normal obliteration occurs by the 10th week of gestation.
  • Persistence of remnants can lead to umbilical cord abnormalities.

Observation:

  • A case of an intestinal polyp detected on the umbilical cord of a healthy newborn male is presented.
  • The polyp was identified postnatally.
  • Morphology, pathogenesis, and complications were analyzed.

Findings:

  • Intestinal tissue on the umbilical cord suggests a remnant of the ductus omphalomesentericus.
  • Prolapse and differentiation of intestinal cells lead to polyp formation.
  • Potential for dangerous clinical consequences exists.

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Implications:

  • Early detection and diagnosis are crucial for managing umbilical cord polyps.
  • Differential diagnosis must include other umbilical cord tumors like myxoma, angioma, and teratoma.
  • Understanding embryonic duct development aids in recognizing congenital anomalies.