Omphalolith: Une présentation déroutante

Bounouar, Mariem; Hatimi, A.; Meziane, Mariame; Mikou, O.; Fz, Mernissi; Bennani, Amal; Chehbouni, Sanae; Harmouch, Taoufiq; Amarti, Afaf

doi:10.4314/pamj.v8i1.71152

Cited by 3 publications

(11 citation statements)

References 3 publications

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“…Omphalolith or umbilical concretion is a rare and benign affection due to the accumulation of sebum and keratin in the umbilicus (2,3). It usually presents as a firm black mass.…”

Section: Discussionmentioning

confidence: 99%

“…Omphalolith usually remains asymptomatic for several years. I can be noticed by chance or after secondary complications (3). Repetitive trauma can cause irritation, erosions, bleeding, and pyogenic granuloma.…”

Section: Discussionmentioning

confidence: 99%

“…Repetitive trauma can cause irritation, erosions, bleeding, and pyogenic granuloma. Secondary infection, abscess formation, cellulite, or even peritonitis can also be the revealing symptoms of this condition (3,4,6) .…”

Section: Discussionmentioning

confidence: 99%

“…Excision of an associated pyogenic granuloma can be necessary in some cases. Patients' education on proper corporeal hygiene is paramount to prevent recurrences (3,4,6). The excision of the umbilicus may be recommended in some recalcitrant cases(1).…”

Section: Discussionmentioning

confidence: 99%

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Omphalolith: An Underdiagnosed Entity?

Jouini

Litaiem

Zaimi

et al. 2022

Preprint

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“…Omphalolith or umbilical concretion is a rare and benign affection due to the accumulation of sebum and keratin in the umbilicus (2,3). It usually presents as a firm black mass.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Omphalolith: An Underdiagnosed Entity?

Jouini

Litaiem

Zaimi

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Excision of an associated pyogenic granuloma can be necessary in some cases. Patients' education on proper corporeal hygiene is paramount to prevent recurrences 4,5,7 . The excision of the umbilicus may be recommended in some recalcitrant cases 1 …”

Section: Discussionmentioning

confidence: 99%

Omphalolith: An underdiagnosed entity

Jouini

Litaiem

Zaimi

et al. 2022

Clinical Case Reports

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The umbilicus is a remaining scar in the center of the abdomen following the removal of the umbilical cord. 1 It has different shapes. Multiple affections can raise in this area including metastasis (Mary Joseph's nodule) and endometriosis. Less commonly reported yet benign conditions are important to diagnose. Omphalolith, also known as omphalokeratolith, omphalith, or umbolith, 2 is a rare and underdiagnosed entity due to the accumulation of sebum and keratin in the umbilicus. Omphalolith is derived from two Greek words: omphalos (navel) and lithos (stone). 3 It usually occurs in the elderly with deep and narrow umbilicus. Neglect and poor corporal hygiene represent the main risk factors. Early recognition of omphalolith is important to prevent unnecessary investigations and anxiety. Delayed diagnosis may lead to complications including irritation, erosions, bleeding, pyogenic granuloma, abscess formation, cellulitis, or even peritonitis. We report herein two new cases of omphalolith and provide a comprehensive summary of its characteristics. | CASE PRESENTATION | Case 1A 28-year-old female patient presented with a dark nodule on the umbilicus. She did not report pain, bleeding, discharge, or trauma and denied recent fever or weight loss. Past medical history was consistent with Wilson's disease with cirrhosis and hyperkinetic extrapyramidal symptoms. She was entirely dependent on her mother for daily activities. Clinical examination revealed a firm, keratotic, black nodule protruding out of the umbilicus, measuring 2 × 1 cm (Figure 1A). The surrounding skin was otherwise normal. Gentle traction of the nodule using dermal forceps allowed its extraction (Figure 1B).

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