How are umbilical granulomas diagnosed and treated in omphalitis?

Updated: May 20, 2019
  • Author: Patrick G Gallagher, MD; Chief Editor: Santina A Zanelli, MD  more...
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Umbilical granulomas, when they occur, typically develop after the first week of life. Composed of excess granulation tissue at the base of the umbilical cord, most granulomas appear after the umbilical cord has separated, although sometimes they are found with incomplete cord separation. The granulomas, which range from 3-10 mm in size, are pink or dark pink in color and have a soft, velvety texture. Because most of these granulomas fail to epithelialize, they are associated with persistent inflammation accompanied by serous or serosanguinous drainage and a tendency for easy bleeding with trauma. Treatment options include topical applications of silver nitrate, excision and application of absorbable hemostatic materials, cryosurgery, and application of various desiccants.

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