Omphalomesenteric duct cyst containing gastric mucosa presenting with periumbilical excoriation

Authors

  • Dinesh Kumar Barolia Senior resident
  • Aditya Pratap Singh
  • Harsha Vinod Bathia
  • Vipal H Parmar
  • Bhavana Asit Mehta
  • Shraddha Mehta

DOI:

https://doi.org/10.46831/jpas.v2i1.96

Abstract

A 2-year-old male child presented with umbilical discharge (for 1.5 years), red-brown swelling at the umbilicus (since birth), and severe excoriation around the umbilicus (for 1 year). He was taking medicine from a local practitioner for umbilical swelling for one year. But there was no improvement. Gradually periumbilical excoriation worsened. On examination, the excoriated skin became black. He was investigated for routine hemogram, USG whole abdomen, and pre-anesthetic checkup. Ultrasonography showed umbilical sinus. After optimization, surgery was performed that showed a cystic swelling beneath the umbilicus, opening at the umbilicus. The end of cystic swelling was connected with the distal ileum (site for Meckel's diverticulum) with a fibrous band. The cyst and the band were excised. Umbilicoplasty was done along with layered wound closure. The postoperative period was uneventful. Histopathology of the excised specimen showed a cystic lesion composed of ectopic gastric mucosa surrounded by muscle layer and fibroadipose tissue. 

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Barolia DK, Singh AP, Tanger R, Gupta AK,Chaturvedi V, Tuteja N. Demography of the remnant of omphalomesenteric duct. Formos J Surg 2019; 52:201-6.

Kadian YS, Verma A, Rattan KN, Kajal P. Vitellointestinal Duct Anomalies in Infancy. J Neonatal Surg. 2016; 5(3):30.

Khati NJ, Enquist EG, Javitt MC. Imaging of the umbilicus and periumbilical region. RadioGraphics 1998; 18(2):413–431.

Durakbasa CU, Okur H, Mutus HM, Bas A, Ozen MA et al., “Symptomatic omphalomesenteric duct remnants in children,” Pediatr Int 2010;52:480–4.

Singaravel S, Yadav PC. Histomorphology of the lesions of the umbilicus: Are we naïve about the navel?. Indian J Pathol Microbiol 2021; 64:91-5.

Iwasaki M, Taira K, Kobayashi H, Saiga T. Umbilical cyst containing ectopic gastric mucosa originating from an omphalomesenteric duct remnant. J Pediatr Surg. 2009 Dec; 44(12):2399-401. doi: 10.1016/j.jpedsurg.2009.08.027. PMID: 20006036.

Tamilselvan K, Mohan A, Cheslyn-Curtis S, Eisenhut M. Persistent umbilical discharge from an omphalomesenteric duct cyst containing gastric mucosa. Case Reports in Pediatrics, 2012, Article ID 482185, 3 pages, 2012.doi:10.1155/2012/482185.

Jagtap AB, Dhongade HS. “Omphalomesenteric duct cyst with heterotopic gastric mucosa presenting as persistent umbilical discharge.” Indian Journal of Pathology and Oncology 3 (2016): 110-114.

Published

2022-05-25

How to Cite

1.
Barolia DK, Singh AP, Bathia HV, Vipal H Parmar, Bhavana Asit Mehta, Shraddha Mehta. Omphalomesenteric duct cyst containing gastric mucosa presenting with periumbilical excoriation. J Pediatr Adolesc Surg [Internet]. 2022May25 [cited 2022Jun.30];2(1). Available from: http://jpedas.org/ojs/index.php/jpedas/article/view/jpas-96
Share |