Tamilselvan Kanimozhi, Mohan Arunodaya, Cheslyn-Curtis Sarah, Eisenhut Michael
Department of Paediatrics, Luton and Dunstable Hospital NHS Foundation Trust, Lewsey Road, Luton LU4 0DZ, UK.
Case Rep Pediatr. 2012;2012:482185. doi: 10.1155/2012/482185. Epub 2012 May 24.
Umbilical discharge in infancy is often attributed to infection or an umbilical granuloma. It is important to investigate if such a discharge is due to an underlying congenital abnormality because corrective surgical intervention may then be required. We present the first case of an infant with a persistent umbilical discharge from an omphalomesenteric duct cyst. The discharge was associated with periumbilical dermatitis. The dermatitis was most likely due to irritation of the skin by gastric acid produced by the ectopic gastric mucosa contained in the omphalomesenteric duct cyst. Both discharge and dermatitis resolved after surgical removal of the cyst.
婴儿期的脐部渗液通常归因于感染或脐肉芽肿。重要的是要调查这种渗液是否源于潜在的先天性异常,因为可能需要进行矫正性手术干预。我们报告首例因卵黄管囊肿导致持续性脐部渗液的婴儿病例。渗液伴有脐周皮炎。皮炎很可能是由卵黄管囊肿内异位胃黏膜产生的胃酸刺激皮肤所致。手术切除囊肿后,渗液和皮炎均消失。