Cutaneous presentations of omphalomesenteric duct remnant: A systematic review of the literature - 11/10/19
Abstract |
Background |
Disorders of the umbilicus are commonly seen in infancy, including hernias, infections, anomalies, granulomas, and malignancies. Meticulous inspection of the umbilicus at birth might reveal a persisting embryonic remnant, such as an omphalomesenteric duct (OMD), manifested by a variety of cutaneous signs, such as an umbilical mass, granulation tissue, or discharge.
Objective |
To systematically review the available data regarding the presence and management of OMD remnant with cutaneous involvement to suggest a practical approach for diagnosis and treatment.
Methods |
A systematic review of the literature evaluating OMD anomalies presenting with cutaneous symptoms was performed. In addition, an index case of an 11-month-old patient is presented.
Results |
We included 59 publications reporting 536 cases; 97% of the patients whose age was noted were infants (mean age 11 months). In 7.5% of the cases, diagnosis was established only after treatment failure. In 6.4% of patients, nonlethal complications were reported, and in 10.3%, the outcome was death, partly due to delayed diagnosis or mismanagement.
Limitations |
Limited quality of the collected data, reporting bias.
Conclusion |
OMD is relatively rare; however, the clinician must consider this remnant while examining patients with umbilical abnormalities because mismanagement could cause severe morbidity and mortality.
Le texte complet de cet article est disponible en PDF.Key words : Meckel's diverticulum, omphalomesenteric duct, pyogenic granuloma, umbilical anomalies, umbilical polyp, umbilicoileal fistula, vitelline duct
Abbreviation used : MeSH, OMD
Plan
Funding sources: None. |
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Conflicts of interest: None disclosed. |
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Reprints not available from the author. |
Vol 81 - N° 5
P. 1120-1126 - novembre 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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