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.

References

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Fuijkschot J, Wijnen RM, Gerrits GP, Dubois SV, Rieu PN. A neonate with an intact congenital umbilical appendix: an alternative theory on the etiology of the appendico-umbilical fistula. Pediatr Surg Int. 2006; 22:689-93.

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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. ajcr [Internet]. 25Sep.2018 [cited 17Nov.2018];9(3):17. Available from: http://www.apspjcaserep.com/ojs1/index.php/ajcr/article/view/45