title: These umbilical lesions weren't granulomas after all.
abstract: Consider a VID remnant as part of the differential diagnosis for any patient who has what appears to be a granulomatous umbilical lesion. Order ultrasonography to evaluate a suspected VID, especially for lesions that fail to respond to 2 or 3 silver nitrate treatments. Surgical excision of a VID remnant is usually curative.
authors.affiliation: Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, Wales, United Kingdom. Email: umair.dr@gmail.com.
authors.forename: Umran
authors.initials: U
authors.lastname: Sarwar
authors.affiliation: Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, Wales, United Kingdom.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Javed
authors.affiliation: Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, Wales, United Kingdom.
authors.forename: Thomas
authors.initials: T
authors.lastname: Wright
authors.affiliation: Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, Wales, United Kingdom.
authors.forename: Allan
authors.initials: A
authors.lastname: Dawson
authors.affiliation: Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, Wales, United Kingdom.
authors.forename: Nick
authors.initials: N
authors.lastname: Wilson-Jones
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D004065:Digestive System Abnormalities / Q000175:diagnosis / Q000601:surgery; D004210:Dissection / Q000379:methods*; D006099:Granuloma / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D008297:Male; D016896:Treatment Outcome; D014463:Ultrasonography; D014816:Vitelline Duct / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery