A Novel Navel Presenting as an Umbilical Polyp and Urachal Sinus Associated with an Epigastric Cleft: A Clue to Anterior Midline Fusion Defects

Surgery Today ◽  
2000 ◽  
Vol 30 (11) ◽  
pp. 1053-1054 ◽  
Author(s):  
Fatih Andıran ◽  
Sabriye Dayı ◽  
Emin Mete
Keyword(s):  
Anterior Midline ◽  
Urachal Sinus ◽  
Umbilical Polyp

THE UMBILICAL POLYP, A REMNANT OF THE OMPHALOMESENTERIC DUCT

PEDIATRICS ◽  
1957 ◽  
Vol 20 (1) ◽  
pp. 98-100
Author(s):  
Stanley E. Crawford
Keyword(s):  
Young Children ◽  
Intestinal Obstruction ◽  
Neonatal Period ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Recent Case ◽  
Early Age ◽  
Review Of The Literature ◽  
Omphalomesenteric Duct ◽  
Umbilical Polyp

THE PURPOSE of this paper is to report a recent case of an umbilical polyp and intestinal obstruction during the neonatal period. Umbilical polyps are rare. When present, they may be associated with Meckel's diverticulum because both are remnants of the omphalomesenteric duct. The presence of the visible polyp may give an external clue to otherwise obscure intraabdominal symptoms. A review of the literature earlier than 1916 is well summarized in a book by Thomas Cullen. This unusual volume lists six cases of umbilical polyp accompanied by other pathologic complications of Meckel's diverticulum. This author stressed that in these cases it should be pointed out to either the patient or his parents that possible intra-abdominal duct remnants may, at any time, give rise to symptoms such as intestinal obstruction. Penberthy and Benson reported a 9-year-old male with an umbilical polyp which had been present since birth and was without discharge. This youngster died following operation for intestinal obstruction due to volvulus about the diverticulum and its fibrous connection with the umbilical polyp. These authors pleaded for early elective operations in these cases prior to such complications. Gross gave other reasons for observation, and exploration at a reasonably early age, if a Meckel's diverticulum is suspected. Peritonitis from a ruptured Meckel's diverticulum is peculiarly dangerous; in young children the protecting omentum is inadequate and the migrating nature of the anomaly adds to the danger. Fluid from perforation of a diverticulum is usually of greater volume than that found in appendiceal rupture and abscess.

scholarly journals The Anterior Midline Field: Coercion or decision making?

2009 ◽  
Vol 108 (3) ◽  
pp. 184-190 ◽  
Author(s):  
Liina Pylkkänen ◽  
Andrea E. Martin ◽  
Brian McElree ◽  
Andrew Smart
Keyword(s):  
Decision Making ◽  
Anterior Midline

Umbilical Polyp (UP)

2018 ◽  
pp. 163-170
Author(s):  
Mohamed Fahmy
Keyword(s):  
Umbilical Polyp

scholarly journals ANAL FISSURE;

2012 ◽  
Vol 19 (06) ◽  
pp. 760-763
Author(s):  
SHAUKAT ALI ◽  
MUHAMMAD AZIM KHAN ◽  
SHAHID MANSOOR NIZAMI
Keyword(s):  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Age Group ◽  
Female Patients ◽  
Non Invasive ◽  
Chemical Sphincterotomy ◽  
Anterior Midline ◽  
Study Results ◽  
Posterior Midline

Objective: To know the outcome of treatment of chronic anal fissure. Setting: Nishtar Hospital, Multan. Period: January 2011 toJune 2011. Material and methods: A total of 100 patients attending surgical OPD were included in the study. Results: Out of 100 patients, 73(73%) were male and 27 (27%) were female patients. Majority of the patients were from the age group 31-40 years. At posterior midline fissurein ano was present in 91 (91%) patients and at the anterior midline it was in 9 (9%). Pain defecation was seen in all patients, constipation in 95(95%) patients whereas bleeding from rectum in 72 (72%) patients. Conclusions: It is concluded that in patients with chronic anal fissure,chemical sphincterotomy with topical nifedipine ointment is a non-invasive and effective modality.

scholarly journals Thyroid abscess in a 5 year old child caused by Enterococcus species: a rare case report

2018 ◽  
Vol 4 (2) ◽  
pp. 36
Author(s):  
Pradeep Rajbhandari ◽  
Bikash Lal Shrestha ◽  
Ashish Dhakal
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Lymphatic Drainage ◽  
Rare Clinical Entity ◽  
Surgical Drainage ◽  
Enterococcus Species ◽  
Neck Swelling ◽  
Anterior Midline ◽  
Thyroid Abscess ◽  
Rare Case Report

<p class="abstract"><span lang="EN-IN">Thyroid abscess is a rare clinical entity which is attributable to its unique anatomical and physical characteristics which makes it resistant to infection. Thyroid gland is resistant to infection because of its rich blood supply and lymphatic drainage, an iodine rich environment and separation of the gland from other structures of neck by facial planes. In our case report, 5 years old male patient presented with a painful anterior midline neck swelling which was diagnosed as thyroid abscess caused by <em>Enterococcus</em> species. The patient was successfully treated with surgical drainage and appropriate antibiotics</span><span lang="EN-IN">. </span></p>

scholarly journals Anterior Cervical Corpectomy and Fusion with excision of recurrent long segmental midline anterior cervical arachnoid cyst

2020 ◽  
Vol 17 (2) ◽  
pp. 60-64
Author(s):  
Ashish Jung Thapa ◽  
Asheesh Tandon ◽  
Alok Agrawal
Keyword(s):  
Arachnoid Cyst ◽  
Posterior Approach ◽  
Complete Removal ◽  
Complete Excision ◽  
Cervical Corpectomy ◽  
Cyst Excision ◽  
Anterior Midline ◽  
Epithelial Secretion ◽  
Anterior Cervical Corpectomy ◽  
The Ideal

Anterior midline cervical arachnoid cysts are very rare, common in the thoracic region. The treatment of midline ventrally lying arachnoid cyst may be challenging via a posterior approach because of a lack of direct visualization of the entire cyst, in particular, its attachment to the cord, complete excision of the cyst wall through a posterior approach is not always possible. Incomplete excision at the first operation and the reaction caused by the epithelial secretion from the marsupialized cyst makes surgery for recurrence very difficult. So, Anterior cervical corpectomy and fusion (ACCF) with cyst excision may be the ideal approach for the anterior midline arachnoid cyst with complete removal and fewer chances of recurrence. Here we report a case of long segmental recurrent midline anterior arachnoid cyst which is completely excised using an anterior cervical corpectomy and fusion and the patient improved drastically neurologically.

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