Pediatric Umbilical Granuloma

Etiology:
Imaging: Round hyperechoic lesion with hypoechoic rim that is close to the umbilical stump
DDX: Umbilical polyp, umbilical hernia, urachal remmant
Complications:
Treatment: Chemical cauterization using silver nitrate or surgery if cauterization fails
Clinical: Most common umbilical lesion in newborns and infants

Radiology Cases of Umbilical Granuloma

US of umbilical granuloma — Transverse (above) and sagittal (below) US of the umbilicus shows an oval mass which is primarily echogenic in appearance with a hypoechoic rim, which is situated close to the umbilical stump.

US of umbilical granuloma — Transverse (left) and sagittal (right) US of the umbilicus shows a round hyperechoic lesion with a hypoechoic rim near the umbilical stump.