Granulation tissue hyperplasia in the umbilical fossa

Introduction There is granulation tissue proliferation in the umbilical fossa. The wound that has not healed after the umbilical cord is stimulated by foreign matter or often rubbed to form a polypoid, cherry red granuloma, which is rice-to-soap size, has pus and bloody secretions, and is not easy to heal. Excessive granulation tissue can be removed with 10% silver nitrate or with sterile scissors to keep it clean and quickly heal. The granulation tissue proliferation in the umbilical fossa is a kind of tissue hyperplasia that occurs after the umbilical cord falls off. It may also be caused by the intestinal tube connecting with the navel and the mucous membrane bulging. Umbilical granuloma is very likely to cause infection and cause inflammation. It is an umbilical disease that requires immediate medical attention.

Cause

If the umbilical part of the newborn is not strictly disinfected during delivery, or if the parents do not pay attention to it, it will cause inflammation of the umbilicus. If the inflammation is not controlled, the tissue will proliferate and then the granuloma will form.

an examination

Related inspection

Blood routine umbilical examination

1. Pink granules appear in the middle of the navel after the umbilical cord falls off. The size of umbilical granuloma in different children is different.

2, umbilical granuloma can also cause pus, bleeding and other symptoms.

3, when the mother touched with her fingers, the baby often hurts and wows.

Differential diagnosis

Need to be identified with the following diseases:

1. Umbilical sinus: caused by the umbilical end of the yolk tube is not closed. Carefully inspect the umbilicus and find the sinus with a probe or contrast agent. Sometimes it can be seen that the spheroidal polyp tissue section is the intestinal mucosa rather than the granulation tissue, which is called umbilical cord or umbilical polyp should be surgically removed.

2. Umbilical intestinal fistula (the yolk tube is not closed): a bright red mucous membrane with a rounded protrusion at the umbilicus. There is a mouth in the middle, there is a odor discharge or liquid feces, oral charcoal or a contrast agent injected into the umbilicus. X-ray examination can confirm the diagnosis. Need surgery.

3. Umbilical urethral fistula (umbilical ureteral obstruction): The umbilicus often has clear liquid outflow, local injection of contrast agent can enter the bladder or bladder retrograde angiography to reach the skin, injecting methylene blue to the umbilicus to discharge blue urine. Need surgery.

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