■脐带肉芽肿(UG)是脐带肿块的最常见原因,它是在脐带分离后生命的最初几周形成的。尽管文献中描述了不同的治疗选择,对于最佳治疗方案尚无明确共识.在我们的案例中,我们将描述肉芽肿的完全解决与盐治疗没有不利影响。
■一名18天大的女婴出现在门诊部(OPD),担心脐带肿胀,脐带分离后发现一天的淡黄色放电。放电是,最初,无臭,没有粪便或尿液含量,没有疼痛,和新生儿的行为改变。建议母亲进行海绵洗涤并应用硝酸银或液氮。五天后,患者出现持续2天的脐带肿胀化脓性分泌物,但无其他主诉。注意到放电是脓性的,但周围皮肤没有红斑。患者在实验室没有白细胞增多症。应用一茶匙的烹饪盐覆盖整个肉芽肿,并用纱布将脐包装30分钟。包装30分钟后,除去盐并用生理盐水清洗。随后,在施加盐之后,肉芽肿从红色变成腮红。在三次盐包应用后,肉芽肿的大小减小,变得干燥,和分开。没有注意到副作用,婴儿在3个月大时随访,没有发现复发。
■盐处理似乎是一种有效的,可用,和成本较低的脐带肉芽肿的治疗选择。
BACKGROUND: Umbilical granuloma (UG) is the most common cause of umbilical mass and it is formed in the first few weeks of life after the umbilical cord separates. Though there are different options of treatment described in the literature, there is no clear consensus on the best option of treatment. In our
case, we will describe the complete resolution of granuloma with
salt treatment with no adverse effect.
METHODS: An 18-day-old female infant presented to the outpatient department (OPD) with concerns of swelling over the umbilicus with a yellowish discharge of one-day duration noticed after separation of the umbilical cord. The discharge was, initially, odorless, with no fecal or urine content, no pain, and behavioral change in the neonate. The mother was advised on sponge wash and to apply silver nitrate or liquid nitrogen. After five days, the patient presents with purulent discharge from the umbilical swelling of two-day duration but no other complaint. Discharge was noted to be purulent but no erythema in the surrounding skin. The patient had no leukocytosis on labs. A teaspoon of cooking salt was applied to cover the whole granuloma and packed the umbilicus for 30 minutes with gauze. After 30 minutes on the pack, the
salt was removed and cleaned with normal saline. Subsequently, after the
salt was applied, the granuloma changed from red to blush hue. After three applications of
salt pack, the granuloma decreased in size, became dry, and separated. There was no side effect noted and the infant was followed up with no recurrence noted at 3 months of age.
CONCLUSIONS: Salt treatment appears to be an effective, available, and less costly treatment option for an umbilical granuloma.