Diseases of the Umbilicus
- Umbilical Granuloma
- Umbilical Dermatitis
- Pilonidal Sinus
- Patent Vitellointestinal Duct
- Neoplastic Ulceration from the Transverse Colon
- Tuberculous Peritonitis
- Patent Urachus
- Secondary Stomach, Colon, Overy, Uterus, Breast
- Umbilical Calculus
- Caput Medusae
Inflammation of the Umbilicus
- Infection of the umbilical cord.
- On 3rd or 4th day of life.
- Staphylococci is commonest causative organism the other are streptococci, Esch. coli, Cl. tetani, etc
- Prophylaxis is strict asepsis during severance of the cord and use of 0.1% chlorhexidine locally for a few days.
- In infection of the umbilical cord antibiotics may be needed.
- Remove the crusts and give exit to pus.
- Exuberant granulation tissue may requires a touch of silver nitrate.
- In serious cases infection is liable to spread along the defunct hypogastric arteries or umbilical vein and can lead to following complications
- Abscess of the abdominal wall below or above the navel needs drainage
- Extensive ulceration of the abdominal wall due to synergic infection
- Jaundice in the newborn by stenosing intrahepatic cholangiolitis
- Portal vein thrombosis and subsequent portal hypertension
- Peritonitis Caries bad prognosis
- Umbilical hernia
- Chronic infection of the umbilical cicatrix or non-healing of umbilical vessels can lead to out pouting of granulation tissue.
- No certain means of distinguishing this condition from an adenoma which originate from vitellointestinal duct
- Silver nitrate application may help
- Surgical excision under local anaesthesia is recommended
Dermatitis of and around the umbilicus
- Common at all times of life.
- Fungus and parasitic infection are more difficult to eradicate.
- May be associated with discharge from the umbilicus in cases of umbilical fistula or a sinus.
- A sinus in umbilicus containing a sheaf of hairs
- Treatment is excision