Cutaneous presentations of omphalomesenteric duct remnant: A systematic review of the literature

Journal of the American Academy of Dermatology
Efrat Solomon-CohenAssi Levi

Abstract

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. 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. 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. 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. Limited quality of the collected data, reporting bias. OMD is relatively rare; however, the clinician must consider this remnant while examining patients with umbil...Continue Reading

Citations

Sep 16, 2020·The American Journal of Medicine·Amanda S WeissmanLoretta S Davis

Dec 4, 2020·Annales de dermatologie et de vénéréologie·F Cambazard
Nov 2, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Emilio J Inarejos ClementeIgnasi Barber Martínez de la Torre
May 8, 2021·The American Journal of Dermatopathology·Murphy R MastinRuifeng Guo

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