[A case of umbilical polyp with aberrant pancreas and small intestinal mucosa--analysis of cases of umbilical polyp reported in Japan]. Microscopically, the lesion appeared to be a proliferation of loosely arranged fibroblasts which most closely resembled nodular fasciitis. Age ranged from 3 to 18 months (mean 9 months, median 8 months). Diagnosis of UP is usually made by physical exam, which may demonstrate a watery discharge from the umbilicus, imaging, including ultrasound, computerized tomography, fistulogram or voiding cystourethrography, which could also be useful in the diagnosis of patent urachus. In conclusion, the “fibrous umbilical polyp” is a distinctive lesion of early childhood with an uncertain pathogenesis. Recurrence was not observed. A series of 19 cases from one institution suggests that it is not rare. We also conducted an Internet search for "body piercing" on the World Wide Web. Perhaps the umbilicus, a midline defect that is normally filled by dense scar tissue after birth, contains unique fibrogenic factors responsible for the development of this distinct lesion. A neonatal umbilical polyp may indicate the presence of an omphalomesenteric duct remnant. Vascularity was sparse and the lesions were nonencapsulated. 1994 Oct;95(10):786-9. These lesions are diagnostically challenging because of morphologic and immunohistochemical overlap, despite significant clinical, genetic, and prognostic differences. Practitioners must be able to recognize, treat, and counsel patients on body piercing complications and be alert to associated psychological conditions in patients who undergo body piercing. Fibroblastic cells were plump to elongate with abundant pale pink cytoplasm. Often there is a history of preceding trauma. Loss of rete ridges and basket-weave hyperkeratosis was common in the overlying epidermis. They tend to recur after incomplete excision. All patients underwent dismembered pyeloplasty but 1 required subsequent nephrectomy due to progressive loss of renal function. 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). During development, the umbilicus functions as a channel that allows blood flow between the placenta and fetus. Fourteen lesions were characterized by a well-circumscribed dome-shaped or pedunculated dermal proliferation of moderately cellular fibrous tissue without significant inflammation. To read the full-text of this research, you can request a copy directly from the author. All cases presented as rapidly growing masses with a preoperative duration of only two months. 7. Thirteen (93%) patients were boys. Key Features: Provides a hands-on guide to the management of typical clinical scenarios for all pediatric surgery trainees and other professionals involved in the care of childhood surgical disease Gastric polyp of the umbilicus in an 8-year-old boy. Please enable it to take advantage of the complete set of features! No OMD anomaly was found. A large number of other physicians will find this book very useful, including general surgeons who evaluate and treat childhood surgical diseases, paediatricians and pediatric hospitalists who co-manage patients with surgeons, and obstetricians, pathologists, and radiologists who work closely with pediatric surgeons. THE PURPOSE of this paper is to report a recent case of an umbilical polyp and intestinal obstruction during the neonatal period. Other anomalies include a stand-alone fibrous tract, cysts within that tract or within the abdominal wall at the umbilicus, an umbilical sinus, or an external polyp at the umbilicus.2Cysts within the fibrous tract may migrate into the umbilical cord and cause fetal death.3Finally, the remnant may persist as an open umbilical enteric fistula or a patent vitellointestinal duct connecting the lumen A follow-up study of patients with umbilical polyp was performed. We review our experience with fibroepithelial polyps of the ureteropelvic junction in children to define more clearly this entity and its outcome following treatment. The age of the patients at the time of initial treatment ranged from three weeks to six years (median 18 months), with the lesions being congenital in two cases. Age ranged from 3 to 18 months (mean 9 months, median 8 months). The central portion of the omphalomesenteric duct is represented by a fibrous cord, the inner end by Meckel's diverticulum. Loss of rete ridges and basket-weave hyperkeratosis was common in the overlying epidermis. Early identification of this congenital anomaly is essential for prompt surgical treatment to eliminate the risk of prolapse and herniation. Age ranged from 3 to 18 months (mean 9 months, median 8 months). Contains the contributions of renowned pediatric surgeons from a world-leading center of excellence. This case report suggests that the features considered diagnostic of ganglioneuromas can occur in other cutaneous lesions and, therefore, this diagnosis cannot be offered only on the basis of H and E. Fibroblastic and myofibroblastic tumors in children and adolescents are a relatively common group of soft tissue proliferations that range from reactive to hamartomatous to neoplastic, with a full spectrum of benign, intermediate, and malignant neoplasms. This condition has been noted in a number of cases. This site needs JavaScript to work properly. These occurred in the skin of the face and scalp (2 cases), arm (1 case), and vulvar skin (one case), and were clearly related historically to prior episodes of trauma. Vascularity was sparse and the lesions were nonencapsulated. The discussion that follows presents the most relevant issues pertaining to the topic, drawing on the index case, as well as multiple other cases that depict the entire spectrum of the disease or anomaly. Data are reported as median (range). 2013 Jul;58(4):328. doi: 10.4103/0019-5154.113990. In this manuscript, we review the available body piercing literature. Immunostaining showed focal staining for muscle-specific actin and desmin in a subset of cases and no staining for cytokeratin, epithelial membrane antigen, CD34, or S-100. Characteristically, there was erosion of only the outer table of the skull, although in three cases the lesion extended through the inner table to attach to the underlying dura mater. 5. Umbilical polyps are rare. Fibroepithelial polyps are rare lesions that cause ureteropelvic junction obstruction in children, primarily in males and on the left side.