Umbilicus

Question 1

What is Gasteoschisis and it’s associations?

Answer 1

Bowel lies outside abdominal wall through defect located to right of umbilicus

-It is associated with atresia

Question 2

-what is Exomphalos (omphalocele) and it’s associations?

Answer 2

Liver and gut remain covered with membranous sac connected to umbilical cord.

-It is associated with Malrotation and CDH

Mortality >15%

Question 3

What is the umbilical hernia?

Answer 3

-Up to 20% of neonates May have an umbilical hernia, it is more common in premature infants.

-Most of these hernias close spontaneously

-Surgery at age of 3 if not closed spontaneously

Question 4

What is para-umbilical hernia?

Answer 4

-These are due to defects in the lines alba that are near the umbilicus.
-They are less likely to resolve spontaneously than an umbilical hernia

Question 5

What is the umbilical granuloma?

Answer 5

-Cherry red lesion, bleeds with contact and a site of seropurulent discharge

Question 6

What is ompalitis?

Answer 6

An onfection of the umbilicus and or surrounding tissues, occurring primarily in the neonatal period.

Question 7

What is patent vitellointestinal duct?

Answer 7

A relatively rare condition 2%, with most common presentation Meckel’s diverticulum (brownish discharge with cries)