Umbilical Hernia vs. Cutis Navel

Umbilical Hernia vs. Cutis Navel

Left picture: The diagnosis is an umbilical hernia of medium size which can be reduced by finger pressure. Following reduction, a small round hole is palpable in the midline underneath the navel. Right picture: In fact, not an umbilical hernia is present, but a variation of the navel (= so-called cutis navel). The variation consists of a more peripheral insertion of the umbilical cord set off from the level of the abdominal wall. This finding normalizes spontaneously after some time, not needing surgery. The reddish discoloration on the top of the navel is a small navel granuloma.

Left picture: Newborn at the transition to infancy with a hemispherical prominence in the region of the navel. Right picture: 9-day-old newborn with a suggestive semispherical prominence in the region of the navel. On the tip of the swelling a red dsicoloration is visible. Following a regular ligation of the cord, the impression of an already present umbilical hernia arises in spite of the very young age of the patient. Left picture: The prominence becomes tense on crying. The swelling disappears by finger pressure in the quiet patient. Right picture: The prominence does not change its size during crying.