Abstract Ref Number = APCP999
The Treatment of Umbilical Granuloma in a Rural Setting
Klinik Pratama Alam Sehat Lestari
Background : Umbilical granuloma is an excess growth of tissue at the base of the umbilicus during the healing process after cord separation, that usually happens in the first week of the newborn’s life. The prevalence has been reported as 1 in 500 newborns. The usual clinical signs and symptoms are swelling, pinkish colored, wet umbilical mass, with a leakage of clear fluid. Some standard treatments are application of silver nitrate, ligation, excision, electrocautery, and cryotherapy. These treatments are quite difficult to perform in rural areas which may lead to delayed treatment and complications. Common complications of umbilical granulomas are infection and skin irritation.
Case Presentation Summary : A 2 month old male infant was brought to a rural health care facility, presenting with a small, pinkish colored mass on the umbilicus, , producing clear fluid and a foul smell. It had been present since the umbilical cord stump fell off at 18 days old. The infant was born at term by vaginal birth in a primary health care facility. There was not any sign of bleeding, purulent discharge, increasing size, redness around the umbilical skin, or protruding umbilicus. The patient got worked up with ultrasound that showed no abnormality beneath the umbilicus. The mass was diagnosed as an umbilical granuloma and treated with common salt, which was applied three times daily and covered for 30 minutes. On the third day, the mass disappeared and there was not any sign of complications.
Learning Points/Discussion : Applying common salt to an umbilical granuloma is an effective, cheap therapy, with no reported complications. This treatment can be easily performed by any medical practitioner or parents in a rural setting, which may prevent delays in standard treatment that may lead to complications of umbilical granulomas.
Keywords: Umbilical granuloma Common salt Infants Rural setting