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Abstract
A 68-year-old male presented with a chronic, recurrent, non-healing, discharging umbilical sinus since 1.5 years ago. Medical history was unremarkable. On examination, it was observed that there was a serous discharge from inside the umbilicus. The discharge was foul-smelling and purulent. No inguinal or axillary lymphadenopathy. Routine hematological and biochemical investigations were normal. The patient had undergone sinus tract excision 8 months back, without any improvement of symptoms. Further evaluation by ultrasonography revealed a linear hypoechoic lesion with internal thick debris noted in the umbilicus with communication into the peritoneal cavity.
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References
- Swanson SL, Woosley JT, Fleischer AB, et al. Umbilical mass. Omphalith Archiv Dermatol 1992;128(9):1267-70.
- Burns T, Breathnach S, Cox N, et al. The general, perineal and umbilical regions. Rook’s textbook of dermatology. Vol. 4, 7th edn. Blackwell Science 2004:102-68.
- Sheehan D, Hussain S, Vijayaraghavan G. Umbilical concretion. J Radiol Case Rep 2011;5(4):25.
- Mahdi HR, El Hennawy HM. Omphalolith presented with peritonitis: a case report. Cases J 2009;2(1):8191.
- Montes MR, Eguia BT, Sánchez JA. Urachal sinus: an atypical case and review of the literature. Urology Case Reports 2023;47:102359.
- Hammond G, Yglesias L, Davis JE. The urachus, its anatomy and associated fasciae. Anat Rec 1941;80(3):271-87.
- Risher WH, Sardi A, Bolton J. Urachal abnormalities in adults. South Med J 1990;83(9):1036-9.
- Samy RA. A rare case of patent Urachus with calculus with Omphalolith. Int J Curr Res 2015;7(9):20738-40.
References
Swanson SL, Woosley JT, Fleischer AB, et al. Umbilical mass. Omphalith Archiv Dermatol 1992;128(9):1267-70.
Burns T, Breathnach S, Cox N, et al. The general, perineal and umbilical regions. Rook’s textbook of dermatology. Vol. 4, 7th edn. Blackwell Science 2004:102-68.
Sheehan D, Hussain S, Vijayaraghavan G. Umbilical concretion. J Radiol Case Rep 2011;5(4):25.
Mahdi HR, El Hennawy HM. Omphalolith presented with peritonitis: a case report. Cases J 2009;2(1):8191.
Montes MR, Eguia BT, Sánchez JA. Urachal sinus: an atypical case and review of the literature. Urology Case Reports 2023;47:102359.
Hammond G, Yglesias L, Davis JE. The urachus, its anatomy and associated fasciae. Anat Rec 1941;80(3):271-87.
Risher WH, Sardi A, Bolton J. Urachal abnormalities in adults. South Med J 1990;83(9):1036-9.
Samy RA. A rare case of patent Urachus with calculus with Omphalolith. Int J Curr Res 2015;7(9):20738-40.