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[Congenital umbilical fistulas. A report of 12 cases]

P Alessandrini1, S Derlon

  • 1Service de chirurgie pédiatrique, CHU Nord, chemin des Bourrelys, Marseille, France.

Pediatrie
|January 1, 1992
PubMed

Insights

Congenital anatomical fistulas (CUF) present at birth or later with umbilical issues. Diagnosis involves imaging, and complete surgical excision is the recommended treatment for these conditions.

Area of Science:

  • Pediatric Surgery
  • Neonatal Abnormalities
  • Congenital Malformations

Background:

  • Congenital anatomical fistulas (CUF) represent a spectrum of developmental anomalies.
  • These fistulas can manifest at birth or present later with signs of umbilical inflammation or discharge.

Purpose of the Study:

  • To report on a series of 12 cases of congenital anatomical fistulas.
  • To discuss diagnostic approaches and treatment strategies for CUF.

Main Methods:

  • Review of 12 cases including persistent omphalo-mesenteric fistulas, persistent urachus, and urachal sinus.
  • Diagnosis confirmed through instrumental exploration and fistulogram.
  • Exclusion of lower urinary tract obstruction for persistent urachus cases.

Main Results:

  • The series included 4 persistent omphalo-mesenteric fistulas, 3 persistent urachus, 4 urachal sinuses, and 1 combined case.
  • Clinical presentation varied, including umbilical granuloma, redness, swelling, and discharge.
  • Instrumental methods were crucial for anatomical classification.

Conclusions:

  • Congenital anatomical fistulas require accurate diagnosis via imaging.
  • Complete surgical excision is the definitive treatment for these conditions.
  • Ruling out associated lower urinary tract obstruction is essential for persistent urachus management.

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