CONGENITAL UMBILICAL ABNORMALITIES


  • Umbilical granuloma--degenerating, oozing end of cut cord; can be confused with urachal fistula; tx with AgNO3
  • Umbilical hernia--more common in blacks, preemies; they never incarcerate and us. close spont. by age 2; is persist, close surgically (n.b. if present in adulthood, can incarcerate)
  • Omphalocele--defect in abd. wall so that rectii don't meet; no skin over defect, eviscerated guts covered with fused amnion/peritoneum, from which the cord comes out. Surg. correction is imperative
  • Gastroschisis--similar to omphalocele, but no membrane, us. a small defect, to right of umbilicus