Haftu Hansa, Gebremichael Teklu Gebrehiwot, Kebedom Abel Gidey
Mekelle University, College of Health Science, Pediatric, and Child Health, Mekelle, Ethiopia.
Mekelle University, College of Health Science, Mekelle, Ethiopia.
Pediatric Health Med Ther. 2020 Sep 30;11:393-397. doi: 10.2147/PHMT.S269114. eCollection 2020.
Umbilical granuloma (UG) is the most common cause of umbilical mass and it is formed in the first few weeks of life after the umbilical cord separates. Though there are different options of treatment described in the literature, there is no clear consensus on the best option of treatment. In our case, we will describe the complete resolution of granuloma with salt treatment with no adverse effect.
An 18-day-old female infant presented to the outpatient department (OPD) with concerns of swelling over the umbilicus with a yellowish discharge of one-day duration noticed after separation of the umbilical cord. The discharge was, initially, odorless, with no fecal or urine content, no pain, and behavioral change in the neonate. The mother was advised on sponge wash and to apply silver nitrate or liquid nitrogen. After five days, the patient presents with purulent discharge from the umbilical swelling of two-day duration but no other complaint. Discharge was noted to be purulent but no erythema in the surrounding skin. The patient had no leukocytosis on labs. A teaspoon of cooking salt was applied to cover the whole granuloma and packed the umbilicus for 30 minutes with gauze. After 30 minutes on the pack, the salt was removed and cleaned with normal saline. Subsequently, after the salt was applied, the granuloma changed from red to blush hue. After three applications of salt pack, the granuloma decreased in size, became dry, and separated. There was no side effect noted and the infant was followed up with no recurrence noted at 3 months of age.
Salt treatment appears to be an effective, available, and less costly treatment option for an umbilical granuloma.
脐肉芽肿（UG）是脐部肿物最常见的病因，在脐带脱落后的最初几周内形成。尽管文献中描述了不同的治疗方法，但对于最佳治疗方案尚无明确共识。在我们的病例中，我们将描述用盐治疗使肉芽肿完全消退且无不良反应。
一名18日龄女婴因脐部肿胀并在脐带脱落后出现持续一天的黄色分泌物而到门诊就诊。最初，分泌物无异味，无粪便或尿液成分，新生儿无疼痛及行为改变。建议母亲用海绵清洗，并应用硝酸银或液氮。五天后，患者脐部肿胀出现持续两天的脓性分泌物，但无其他不适。分泌物为脓性，但周围皮肤无红斑。实验室检查患者无白细胞增多。用一茶匙食用盐覆盖整个肉芽肿，并用纱布填塞脐部30分钟。填塞30分钟后，去除盐并用生理盐水清洗。随后，应用盐后，肉芽肿从红色变为淡红色。经过三次盐包治疗后，肉芽肿尺寸减小，变干并脱落。未观察到副作用，婴儿在3个月大时随访无复发。
盐治疗似乎是一种有效、可行且成本较低的脐肉芽肿治疗选择。
