Umbilicus: Its Related Embryology, Anatomy and Pathology

Authors

  • Bhongtep Singhabhandhu Phuket Adventist (Mission) Hospital, Phuket 83000 Thailand.
  • Rapeepan Wangchumtong Phuket Adventist (Mission) Hospital, Phuket 83000 Thailand.

Abstract

The umbilical cord provides the pathway for the nutrients and blood between the embryo and the chorion or placenta. Three important structures are incorporated in early fetal life within the umbilical ring and these are allantois, yolk sac and umbilical vessels. They normally lose their functions and disappear later at birth. Anomalies arising at the cord may occur as the result of the defect at the ring, patency of the allantois and urachus and present themselves with various signs and symptoms ranging from recurrent omphalitis, umbilical hernia, fistulous drainage (fecal or urinary) or even bleeding and bowel obstruction as is seen in Meckel's diverticulum. Also the summarized surgical treatments of these anomalies were reported and the basis of their management was discussed.

References

1. Anson BJ, Madcock WG. Gallander's surgical anatomy. 3rd ed, Philadelphia: WB Saunders, 1952:375-82.

2. Thorek P, Anatomy in surgery, 2nd ed. Philadelphia, Montreal: JB Lippincott Co, 1962:373-7.

3. Pansky B. Review of medical embryology. New York: Macmillan Publishing Co,1982:86-93.

4. Guzetta PC, Anderson KD, Altman P, Newman KD, et al. Pediatric surgery. In: Schwartz Sl, Shires GT, Spencer FC, eds. Principles of surgery. 6th ed. New York: McGraw-Hill, 1994:1706-10.

5. Gray SW, Skandalakis JE. Embryology for surgeons. Philadelphia: WB Saunders, 1972:519-27.

6. Shaw A. The myth of gastroschisis. J Pediatr Surg 1975; 10:235.

7. Turgeon DK, Barnett JL. Meckel's diverticulum. Am J Gastroenterol 1990; 85:770-87.

8. Soltero MJ, Bill AH. The natural history of Meckel's diverticulum and its relation to incidental
removal. Am J Surg 1976; 132:168-73.

9. Harden RMG, Alexander WD, Kennedy I, Isotope uptake and scanning of stomach is man with 99mTc-per-technetate. Lancet 1967:1:1305-7.

10. Klein HJ, Alfidi RJ, Meaney TF, et al. Angiography in the diagnosis of chronic gastrointestinal bleeding. Radiology 1971;98:83-91.

11. Skandalakis JE, Gray SW, Shepard D, Bourne GH. Smooth muscle tumors of the alimentary tract. Springfield: Charles C Thomas, 1962.

12. Singhabhandhu B, Gray SW, Krieger H, Gertman KE, Skandalakis JE. Carcinoid tumor of Meckel's divertculum; report of a case and review of literature. J Med Assoc Georgia 1973;62:84-9.

13. Perumalswamy R, Novin N, Urachal carcinoma: case report and review of literature. MD State Med J 1983; 32:770-2.

14. Singhabhandhu B, Punyaprasiddhi T. Carcinoma of the urachus. J Int Coll Surg Thai 1988; 36:41-4.

Downloads

Published

1998-03-31

How to Cite

1.
Singhabhandhu B, Wangchumtong R. Umbilicus: Its Related Embryology, Anatomy and Pathology. Thai J Surg [Internet]. 1998 Mar. 31 [cited 2024 Nov. 23];19(1):25-30. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250006

Issue

Section

Original Articles