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Umbilical polyp in infants and children
M Pacilli1, N J Sebire, D Maritsi
1Surgery Unit, Institute of Child Health and Great Ormond Street Hospital, University College London, 30 Guilford Street, London, UK.
Umbilical polyps, remnants of the omphalomesenteric duct (OMD), rarely require abdominal exploration. This study found no associated OMD anomalies in children with umbilical polyps, suggesting exploration is unnecessary.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Gastrointestinal Development
Background:
- Umbilical polyps arise from persistent omphalomesenteric duct (OMD) enteric mucosa.
- Abdominal exploration in these cases is a debated practice.
Purpose of the Study:
- To assess the necessity of peritoneal cavity exploration for children diagnosed with umbilical polyps.
Main Methods:
- Retrospective review of 53 umbilical lesions, identifying 13 umbilical polyps.
- Histological confirmation of gastrointestinal mucosa presence.
- Follow-up study of affected patients.
Main Results:
- 13 children underwent polyp excision; 6 had suspected OMD anomalies and underwent exploration (mini-laparotomy/laparoscopy) with no anomalies found.
- 7 children without exploration remained asymptomatic after a median follow-up of 5.8 years.
Conclusions:
- Umbilical polyps can occur independently of other omphalomesenteric duct anomalies.
- Peritoneal cavity exploration appears unnecessary for children with umbilical polyps.
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