RT Book, Section
A1 Shah, Ashish
A1 Sobolewski, Brad
A1 Mittiga, Matthew R.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181044287
T1 Umbilical Granuloma
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181044287
RD 2024/04/23
AB An  umbilical  granuloma  is  granulation  tissue  with  incomplete  epithelialization  that  persists  following  cord  separation.  It  is  the  most  common  cause  of  an  umbilical  mass  in  neonates.  Parents  will  describe  a  persistent  discharge  from  the  umbilicus  after  the  cord  has  dried  and  separated.  It  appears  soft,  pink,  wet,  and  friable.  Infants  with  an  umbilical  granuloma  do  not  have  localized  swelling,  redness,  warmth,  tenderness,  or  fever.  An  umbilical  polyp  is  a  rare  anomaly  resulting  from  the  persistence  of  the  omphalomesenteric  duct  or  the  urachus  and  may  have  a  similar  appearance.  A  polyp  is  usually  firm  with  a  mucoid  secretion.  The  differential  diagnosis  also  includes  omphalitis,  an  infection  of  the  umbilicus  and  surrounding  structures,  which  should  be  considered  in  ill-appearing  neonates.