Umbilical Pilonidal Sinus, a Lesser-Known and Underdiagnosed Clinical Condition
Asian Journal of Case Reports in Surgery,
Case Presentation: A 46-year-old male patient presented to surgery OPD with a one-year history of intermittent, seropurulent bloody discharge from umbilicus along with pain, tenderness and bulge in the area.
On examination the patient had a hairy body .The umbilicus was everted with sero-haemorrhagic discharge from the sinus and the opening was covered with exudate. Both Laboratory and sonography findings did not yield any significant abnormality. Patient underwent umbilical excision showing sinus tract with bunch of hairs.
Discussion: Umbilical discharge in adult is rare but can be quite alarming.
Failure of conservative methods of hair extraction and appropriate personal hygiene leads to compounding of the problem being recurrent, which makes surgery as an inevitable option.
They have also found that incomplete hair extraction is the commonest cause for failure of conservative management. Proper instruction to the patients at the time of discharge can further reduce the recurrence
Conclusion: Umbilical Pilonidal Sinus could easily be misdiagnosed and mistreated due to its rarity and lack of awareness of the condition. Diagnosis is easy to establish with physical examination and a detailed history. Treatment of choice for chronic, recurrent, resistant, intermittent cases is surgical removal
- Umbilical pilonidal sinus
- hair extraction
- umbilical excision
- under diagnosed
How to Cite
Haj M, Cohen I. J. of Ambulatory Surgery 2004;11:37–39.
Kaplan M, et al. Umbilical pilonidal sinus © Am J Case Rep. 2017;18: 267-270.
Mc Clenathan JH. Umbilical pilonidal sinus. Can. J. Surg. 2000;43:225.
’Lint ball’ omphalitis, a rare cause of umbilical discharge in an adult woman: a case report Deba P Sarma* and Bryan Teruya.
Gupta et al. Japanese Journal of Surgery, 1990;20(5):590-592.
Umbilical Pilonidal Sinus- A Rare Clinical Occurence, indian Journal of Research, peripex, uroos fathima, 2014;3(2).
ISSN - 2250-1991.
Umbilical Pilonidal Sinus: A Report of Two Cases and Recent Update of Literature, susanta meher et al, Journal of Clinical and Diagnostic Research. 2016;10(9): PD20-PD22.
Abstract View: 36 times
PDF Download: 16 times