Congenital Umbilical Appendix Misdiagnosed as Umbilical Granuloma: Report of 2 Cases

  • Javad Ghoroubi Pediatric Surgery Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Leily Mohajerzadeh Pediatric Surgery Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Saran Lotfollahzadeh Pediatric Surgery Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Khashayar Atqiaee Pediatric Surgery Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran http://orcid.org/0000-0003-0421-1334
Keywords: Umbilical cord hernia, Umbilical Appendix, Umbilical granuloma

Abstract

Background: Umbilical cord hernia is an uncommon umbilical anomaly which develops during 10th to 12th weeks of gestational age owing to failure of complete bowel return into coelomic cavity. In extremely rare cases appendix is the only trapped organ in hernia sac which may erode the overlying membrane and simulate umbili-cal granuloma.

Case Report: Two infants presented with delayed umbilical cord separation with a reddish mass at umbilicus which was initially diagnosed as umbilical granuloma. Surgical exploration on failure of conservative measures revealed it as vermiform appendix. Appendectomy was done in both cases.

Conclusion: Vermiform appendix at umbilicus is a rare congenital anomaly and may simulate other pathologies at umbilicus.

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References

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Umbilical Appendix
Published
2018-09-25
How to Cite
1.
Ghoroubi J, Mohajerzadeh L, Lotfollahzadeh S, Atqiaee K. Congenital Umbilical Appendix Misdiagnosed as Umbilical Granuloma: Report of 2 Cases. APSP J Case Rep [Internet]. 25Sep.2018 [cited 31Jan.2026];9(3):17. Available from: http://www.apspjcaserep.com/ojs1/index.php/ajcr/article/view/45
Issue
Vol 9 No 3 (2018): APSP Journal of Case Reports
Section
Case Reports

Copyright (c) 2018 Javad Ghoroubi, Leily Mohajerzadeh, Saran Lotfollahzadeh, Khashayar Atqiaee

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