A 3-year-old child presented with umbilical cord discharge as shown in the image, with no palpable mass in the abdomen. What is the best step?
A. USG Abdomen
B. Diagnostic laparotomy and proceed
C. MRI abdomen
Ans: B. Diagnostic laparotomy and proceed
(Ref: Corun Pediatric Surgery, Vh ed., pg. 961)
- The given image and history is suggestive of umbilical polyp.
- Fine masses comprised of intestinal epithelium or uroepithel ium, which are omphalomesentenc remnants. They usually present with discharge.
- Umbilical polyps are rare and often larger than granulomas, do not respond to silver nitrate therapy
- Surgical exploration is the definitive diagnostic test.