Kasiakou S K, Rafailidis P I, Rosmarakis E S, Falagas M E
Department of Medicine, Henry Dunant Hospital, Athens, Greece.
Scand J Gastroenterol. 2004 Oct;39(10):1021-4. doi: 10.1080/00365520410003362-1.
Recurrent omphalitis is seen more frequently in children, but clinicians world-wide are occasionally challenged by cases of recurrent omphalitis in adults. Apart from folliculitis and infections associated with pilonidal cysts and piercing of the umbilical area, the clinician should consider the possibility of infected remnants of the allantois or the omphalomesenteric (vitelline) duct in adult patients with recurrent omphalitis. Imaging tests such as ultrasound and computed tomography scan frequently help to identify the exact cause of recurrent omphalitis. The combined surgical and medical management usually leads to cure of the problem.
复发性脐炎在儿童中更为常见，但全球的临床医生偶尔也会遇到成人复发性脐炎的病例。除了毛囊炎以及与藏毛囊肿和脐部穿刺相关的感染外，对于患有复发性脐炎的成年患者，临床医生应考虑尿囊或卵黄管感染残留的可能性。超声和计算机断层扫描等影像学检查常常有助于确定复发性脐炎的确切病因。手术和药物联合治疗通常能治愈该问题。
