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Published on: January 14, 2017
Umbilical polyps
M Larralde de Luna1, V Cicioni, A Herrera
1Section of Pediatric Dermatology, Hospital Ramos Mejía, Argentina.
Insights
Umbilical polyps, resulting from incomplete omphalomesenteric duct closure, can indicate underlying embryologic anomalies. Detailed study of each case is crucial for accurate diagnosis and management.
Area of Science:
- Pediatric Surgery
- Developmental Biology
- Clinical Medicine
Background:
- Umbilical polyps are rare congenital anomalies.
- They arise from incomplete closure of the omphalomesenteric duct after birth.
- Diagnosis typically occurs after umbilical cord detachment.
Observation:
- Three pediatric cases of umbilical polyps are presented, with ages 5 years, 3 years, and 4 days.
- One case involved a concurrent umbilical enteric fistula.
- Umbilical polyps are small, reddish, and typically asymptomatic.
Findings:
- The study highlights the association between umbilical polyps and embryologic abnormalities.
- An umbilical enteric fistula was observed in a neonate with an umbilical polyp.
- The findings underscore the need for thorough evaluation of umbilical polyps.
Implications:
- Early identification and detailed investigation of umbilical polyps are essential.
- This can help exclude serious underlying conditions like Meckel's diverticulum.
- Comprehensive assessment ensures appropriate management of pediatric umbilical anomalies.
Abstract:
We report three patients, ages 5 years, 3 years, and 4 days, with umbilical polyps. In the third child the polyp was associated with an umbilical enteric fistula. An umbilical polyp is the result of incomplete closure of the omphalomesenteric duct and becomes apparent after the umbilical cord is detached. It is a reddish tumor of a few millimeters; it seldom bleeds or is exudative. We consider it important to study every case in detail in order to exclude possible underlying embryologic anomalies such as Meckel's diverticulum and umbilical enteric fistula.
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