Saleem Muhammad M, Pervaiz Mishal, Shoaib Uswah, Mazhar Ismail, Sher Gull, Tahir Muhammad Ibrahim, Khauteja Khan Sehar, Osama Muhammad
Pediatric Surgery, Combined Military Hospital Lahore, Lahore, PAK.
Anaesthesiology, Combined Military Hospital Lahore, Lahore, PAK.
Cureus. 2024 Dec 24;16(12):e76351. doi: 10.7759/cureus.76351. eCollection 2024 Dec.
Umbilical lesions in children represent a wide spectrum of congenital or acquired anomalies. Congenital anomalies are mainly because of failed obliteration of the omphalomesenteric duct while acquired pathologies are either because of delayed umbilical cord separation causing umbilical granuloma or result from umbilical stump infection producing omphalitis with persistent discharge. Meckel's diverticulum is considered the most common gastrointestinal congenital anomaly resulting from obliteration failure of the omphalomesenteric duct while umbilical granuloma is a common acquired umbilical lesion seen in daily practice. Prolapsed Meckel's diverticulum mimicking an umbilical granuloma is rare; we report a case where it was misdiagnosed and mistreated as an umbilical granuloma based on its appearance.
儿童脐部病变涵盖了广泛的先天性或后天性异常。先天性异常主要是由于卵黄管闭塞失败，而后天性病变则要么是由于脐带延迟脱落导致脐肉芽肿，要么是由于脐残端感染引发脐炎并伴有持续分泌物。梅克尔憩室被认为是最常见的胃肠道先天性异常，由卵黄管闭塞失败引起，而脐肉芽肿是日常实践中常见的后天性脐部病变。脱垂的梅克尔憩室酷似脐肉芽肿的情况较为罕见；我们报告了一例因其外观被误诊和误治为脐肉芽肿的病例。
