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PubMed1981

[Congenital intestinal fistulae of the umbilicus in children].

The analysis of 21 cases of congenital intestinal umbilical fistulas in children was carried out. It was established that in half of the patients the intestinal umbilical fistulas were associated with other developmental defects. The clinical picture, diagnosis, complications of the persistent umbilical duct and curative measures in this developmental defect are described. The continuous persistence of the congenital umbilical intestinal fistulas can result in disturbed physical development of children and the appearance of adhesive processes in the abdominal cavity. The treatment of patients with congenital intestinal fistulas should be started on diagnosing the disease, the operation of choice being the intra-abdominal closure of the fistula.

Child↗
PubMed1994

Tumour implantation at umbilicus after laparoscopic cholecystectomy for unsuspected gallbladder carcinoma.

Seeding of tumour cells at the umbilical port during laparoscopic surgery for staging malignant disease has been reported. In this paper a 69-year-old woman is described who had umbilical metastasis after laparoscopic cholecystectomy for unsuspected gallbladder cancer. The experience of this case and that of other reports suggests that when laparoscopic techniques are used for the resection of tumours, the excised specimen should be enclosed in a nonporous bag for removal through the abdominal wall.

Abdominal Neoplasms↗