Rare Umbilical Disease

  • Mohamed Fahmy
Chapter

Abstract

Congenital navel absence in a viable newborn obviously does not exist. Abnormalities of the connecting stalk (body stalk anomalies) are lethal in utero or impose a therapeutic abortion before any ultrasound picture can document this anomaly, so few cases had been reported. Very serious malformation detected most often on antenatal ultrasound at the end of the first trimester may be associated with absent or attenuated umbilical cord; like Schisis association (neural tube defects with anencephaly, encephalocele and spina bifida cystica), also cases of defective abdominal wall closure with massive visceral hernia, and anencephaly, of course such cases are associated with a higher miscarriage rate.An omphalith is a hard, smooth, pearly white with a firm, dark brown cap calculus of different sizes and shapes found in the umbilicus. Belly button lint is an accumulation of fluffy fibres in the navel cavity. Lint is the common name for visible accumulations of textile fibres and other materials, usually found on and around the umbilicus. Umbilical pilonidal sinus is characterized by penetration of hairs, foreign body reaction and formation of sinus with granulation tissue. Umbilical keloid is a rare disease and could be seen in different forms and at different age group.

References

  1. 1.
    Quijano FE, Rey MM, Echeverry M, Axt-Fliedner R. Body stalk anomaly in a 9-week pregnancy, case report. Case Rep Obstetr Gynecol. 2014;3:357285. doi: 10.1155/2014/357285.CrossRefGoogle Scholar
  2. 2.
    Rapini RP, Bolognia JL, Jorizzo JL. Dermatology: 2-volume set. St. Louis: Mosby; 2007.Google Scholar
  3. 3.
    Kanzler MH, Smoller B, Woodley DT. Congenital localized absence of the skin as a manifestation of epidermolysis bullosa. Arch Dermatol. 1992;128(8):1087–90.CrossRefPubMedGoogle Scholar
  4. 4.
    Queizán A, Rivas S, Hernández F, Martínez L. Body wall dysplasia: a rare case of abdominal hernia. J Podiatry Surg. 2005;40(5):877–8.CrossRefGoogle Scholar
  5. 5.
    Goltz RW, Peterson NC, Gorlin RJ, Ravits HG. Focal dermal hypoplasia. Arch Deruro. 1962;86:708.CrossRefGoogle Scholar
  6. 6.
    Christison-Lagay ER, Kelleher CM, Langer JC. Neonatal abdominal wall defects. Semin Fetal Neonatal Med. 2011;16:164–72.CrossRefPubMedGoogle Scholar
  7. 7.
    O'Marcaigh AS, Folz LB, Michels VV. Umbilical morphology: normal values for neonatal periumbilical skin length. Pediatrics. 1992;90(1 Pt 1):47–9.PubMedGoogle Scholar
  8. 8.
    Shinohara H, Matsuo K, Kikuchi N. Umbilical reconstruc-tion with an inverted C-V flap. Plast Reconstr Surg. 2000;105:703–5.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Lee YT, Kwon C, Rhee SC, Cho SH, Eo SR. Four flaps technique for neoumbilicoplasty. Archives of Plastic Surgery. 2015;42(3):351–5. doi: 10.5999/aps.2015.42.3.351.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Hong YG, Cho JJ. Reconstruction of scarred umbilicus us-ing an inverted c-v flap: a case report. J Korean Soc Plast Re-constr Surg. 2007;34:653–5.Google Scholar
  11. 11.
    Friedman SJ, Liles WJ. Omphalokeratolith. Cutis. 1987;40(2):144–6.PubMedGoogle Scholar
  12. 12.
    Porter MF. Umbilical concretions. Report of case. J Am Med Assoc. 1920;75(9):599–600.CrossRefGoogle Scholar
  13. 13.
    Sheehan D, Hussain S, Vijayaraghavan G. Umbilical concretion. J Radiol Case Rep. 2011;5(4):25–31. doi: 10.3941/jrcr.v5i4.705.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Ichiki Y, Kitajima Y. Omphalith. Clin Exp Dermatol. 2009;34(3):420–1.CrossRefPubMedGoogle Scholar
  15. 15.
    Mahdi HR, El Hennawy HM. Omphalolith presented with peritonitis: a case report. Cases J. 2009;2:8191. doi: 10.4076/1757-1626-2-8191.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Ashique KT, Kaliyadan F, Goyal T. Terra firma-forme dermatosis: report of a series of 11 cases and a brief review of the literature. Int Jour Dermat. 2016;55(7):769–74.CrossRefGoogle Scholar
  17. 17.
    Steinhauser G. The nature of navel fluff. Med Hypotheses. 2009;72:623–5. doi: 10.1016/j.mehy.2009.01.015.CrossRefGoogle Scholar
  18. 18.
    Andreadis AA, Samson MC, Szomstein S, Newman M. Epidermal inclusion cyst of the umbilicus following abdominoplasty. Plast Surg Nurs. 2007;27(4):202–5. doi: 10.1097/01.PSN.0000306186.72942.ae.CrossRefPubMedGoogle Scholar
  19. 19.
    Cullen TS. Embryology, anatomy, and diseases of the umbilicus: together with diseases of the urachus. Philadelphia, PA: WB Saunders; 1916. p. 253–7.Google Scholar
  20. 20.
    Agbreta N, Boutens A, Debodinance P. Dermoid cyst of the urachus: a case report and review of the literature. J Gynecol Obstet Biol Reprod (Paris). 2006;35(1):75–8.CrossRefGoogle Scholar
  21. 21.
    McClenathan JH. Umbilical epidermoid cyst: an unusual cause of umbilical symptoms. Can J Surg. 2002;45(4):303–4.PubMedPubMedCentralGoogle Scholar
  22. 22.
    Hull TL, Wu J. Pilonidal disease. Surg Clin North Am. 2002;82:1169–85.CrossRefPubMedGoogle Scholar
  23. 23.
    Salih A, Kakamad F, Essa R, et al. Pilonidal sinus of atypical areas: presentation and management. PSJ. 2017;3(1):8–15.Google Scholar
  24. 24.
    Eryilmaz R, Sahin M, Okan I, Alimoglu O, Somay A. Umbilical pilonidal sinus disease: predisposing factors and treatment. World J Surg. 2005;29:1158–60.CrossRefPubMedGoogle Scholar
  25. 25.
    Silva JH. Pilonidal cyst: cause and treatment. Dis Colon Rectum. 2000;43:1146–56.CrossRefPubMedGoogle Scholar
  26. 26.
    Steck WD, Helwig EB. Umbilical granulomas, pilonidal disease, and the urachus. Surg Gynecol Obstet. 1965;120:1043–57.PubMedGoogle Scholar
  27. 27.
    Eryilmaz R, Sahin M, Okan I, Alimoglu O, Somay A. Umbilical pilonidal sinus disease: predisposing factors and treatment. World J Surg. 2005;29:1158–60. doi: 10.1007/s00268-005-7895-9.CrossRefPubMedGoogle Scholar
  28. 28.
    Marneros AG, Norris JE, Olsen BR, Reichenberger E. Clinical genetics of familial keloids. Arch Dermatol. 2001;137:1429–34.CrossRefPubMedGoogle Scholar
  29. 29.
    Ford T, Widgerow AD. Umbilical keloid: an early start. Ann Plast Surg. 1990;25(3):214–5.CrossRefGoogle Scholar
  30. 30.
    Ikard RW, Wahl RW. Umbilical stump keloid. South Med J. 1990;83:1494–5.CrossRefPubMedGoogle Scholar
  31. 31.
    Matsushita K, et al. Umbilical keloid occurred after laparoscopically assisted vaginal hysterectomy. Hifu no kagaku. 2003;2(5):462–5. doi: 10.11340/skinresearch.2.5_462.CrossRefGoogle Scholar
  32. 32.
    Awad GA, Wilson P. Umbilical port site keloid extending through rectus sheath. Eur J Plast Surg. 2014;37:357–8. doi: 10.1007/s00238-014-0935-7.CrossRefGoogle Scholar
  33. 33.
    Alster TS, Tanzi EL. Hypertrophic scars and keloids: etiology and management. Am J Clin Dermatol. 2003;4:235–43.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Mohamed Fahmy
    • 1
  1. 1.Pediatric SurgeryAl Azher University Pediatric SurgeryCairoEgypt

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