Eur J Pediatr Surg 2007; 17(6): 397-399
DOI: 10.1055/s-2007-989220
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

Umbilical Polyp in Infants and Children

M. Pacilli1 , N. J. Sebire2 , D. Maritsi1 , E. M. Kiely1 , D. P. Drake1 , J. I. Curry1 , A. Pierro1
  • 1Surgery Unit, Institute of Child Health and Great Ormond Street Hospital, University College London, London, UK
  • 2Department of Histopathology, Institute of Child Health and Great Ormond Street Hospital, University College London, London, UK
Weitere Informationen


received May 14, 2007

accepted May 23, 2007

11. Dezember 2007 (online)


Aim of the Study: The umbilical polyp is a rare congenital lesion resulting from the persistence of omphalomesenteric duct (OMD) enteric mucosa at the umbilicus. Exploration of the abdomen to exclude the presence of associated OMD remnants is controversial. The aim of this study was to evaluate the need for peritoneal cavity exploration in children with umbilical polyp. Methods: All umbilical lesions (n = 53) excised between 1995 and 2005 in a single institution were reviewed to identify patients with umbilical polyp (n = 13). This is characterised histologically by the presence of gastrointestinal mucosa. A follow-up study of patients with umbilical polyp was performed. Data are reported as median (range). Results and Conclusions: All 13 patients underwent excision of an umbilical polyp at a median age of 15.1 months (3.1 - 80.5). All presented with a discharging polyp (associated with bleeding in 9) which did not respond to topical silver nitrate. Median diameter of the lesions was 0.5 cm (0.2 - 1). Histology revealed the presence of small bowel mucosa in 11 (associated with pancreatic tissue in 1 and gastric mucosa in 1) and large bowel mucosa in 2. All patients underwent inspection and probing of the base of the polyp after its excision. In 6 patients an associated OMD anomaly was suspected and exploration of the peritoneal cavity was performed (mini-laparotomy in 5 and laparoscopy in 1). No OMD anomaly was found. The 7 children who did not undergo exploration of the abdominal cavity remain asymptomatic after 5.8 years (0.9 - 13.7) follow-up. An umbilical polyp can be present in the absence of other OMD anomalies. Exploration of the peritoneal cavity in children with an umbilical polyp does not seem to be necessary.


Prof. Agostino Pierro

Department of Surgery
Institute of Child Health

30 Guilford Street

London WC1N 1EH


eMail: [email protected]