Conservative vs Surgical Interventions for Umbilical Pilonidal Sinus: A Multicenter, Double-Blind, Prospective, Randomized Clinical Trial

Kaplan, Mehmet; Özcan, Önder; Kaplan, Fatma Cigdem; Yalçın, Hüseyin Cahit; Salman, Bülent

doi:10.1016/j.jamcollsurg.2016.01.056

Cited by 17 publications

(18 citation statements)

References 18 publications

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“…Case 1 depicts these typical characteristics. UPS may also be observed in women with absent or minimal body hair and without a deep navel [1–3], as seen in our second case. Therefore, unless proven otherwise, in a patient presenting with a history of intermittent discharge, itching, pain, or bleeding from the umbilicus, and the presence of granulation tissue with or without protruding hair and periumbilical dermatitis (Figure 1), the diagnosis should be UPS, even in female patients.…”

Section: Discussionmentioning

confidence: 53%

“…UPS is very rare in other age groups [3]. High occurrence in young men could be because body hair growth naturally begins with puberty and peaks after age 20.…”

Section: Discussionmentioning

confidence: 99%

“…Since previous conservative treatment attempts had failed, surgical interventions were decided for both cases, as previously described [3]. A written informed consent was obtained from both patients for the surgery.…”

Section: Case Reportmentioning

confidence: 99%

“…Treatment of UPS depends on the disease severity, ranging from improved personal hygiene [1,2] to surgical excision of the affected part of the umbilical complex [3,4]. Extreme care is needed to avoid affecting the aesthetics of the umbilicus if surgery is required, particularly in women [3].…”

Section: Introductionmentioning

confidence: 99%

“…Extreme care is needed to avoid affecting the aesthetics of the umbilicus if surgery is required, particularly in women [3]. …”

Section: Introductionmentioning

confidence: 99%

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Umbilical Pilonidal Sinus, an Underestimated and Little-Known Clinical Entity: Report of Two Cases

Kaplan

et al. 2017

Am J Case Rep

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Case seriesPatient: Male, 26 • Female, 21Final Diagnosis: Umbilical pilonidal sinusSymptoms: Hair tuft in the umbilicus • pain • periumbilical dermatitis • purulent discharge from the umbilicus • skin lesions • pruritisMedication: —Clinical Procedure: Umbilicus preserving surgerySpecialty: General Surgery • Dermatology • Plastic SurgeryObjective:Rare diseaseBackground:Umbilical pilonidal sinus (UPS) is a rare disease of young, hirsute, dark men with deep navels and poor personal hygiene. UPS could easily be misdiagnosed and mistreated due to its rarity and lack of awareness of the condition by physicians. However, the diagnosis is easy to establish with physical examination and a detailed history. Although it is being diagnosed and reported more frequently, there is still no consensus regarding best treatment options.Case Report:In this report, we present two cases of UPS, one in a man and one in a woman, who had typical symptoms of pain, swelling, and intermittent malodorous discharge from the umbilicus. They had small sinus openings with hair protruding deep in the navel. Because these two patients had previous histories of failed conservative treatments, an umbilicus preserving surgery was performed for both cases. Wounds were healed in 2–3 weeks with acceptable cosmetic results. During a more than 2 year follow-up period, there were no signs of recurrence.Conclusions:In a patient presenting with a history of intermittent discharge, itching, pain, or bleeding from the umbilicus and the presence of granulation tissue with or without protruding hair and periumbilical dermatitis, the diagnosis should consider UPS, even in female patients. Treatment generally depends on the severity of the disease, ranging from good personal hygiene to surgical excision of umbilical complex. The treatment of choice for chronic intermittent cases is surgical removal of the affected portion; paying special attention to cosmetic appearance.

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Section: Discussionmentioning

confidence: 53%

“…UPS is very rare in other age groups [3]. High occurrence in young men could be because body hair growth naturally begins with puberty and peaks after age 20.…”

Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Extreme care is needed to avoid affecting the aesthetics of the umbilicus if surgery is required, particularly in women [3]. …”

Section: Introductionmentioning

confidence: 99%

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Umbilical Pilonidal Sinus, an Underestimated and Little-Known Clinical Entity: Report of Two Cases

Kaplan

et al. 2017

Am J Case Rep

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Scientific surgery

2016

British Journal of Surgery

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Rare case of umbilical urachal sinus mimicking infected umbilical abscess: A case report

Torabi

Shirini

Ghaffari

2022

Clinical Case Reports

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Incomplete obliteration of urachus during the fetal period can lead to urachal abnormalities. One of these abnormalities is the urachal sinus that can be asymptomatic, or it can be symptomatic by becoming infected or being malignant, and it can mimic other diseases' symptoms. Although it is rare in adults, it should be considered a significant differential diagnosis in patients with abdominal pain or umbilical discharge. This article presents a young patient with urachal sinus mimicking umbilical pilonidal sinus symptoms.

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Conservative vs Surgical Interventions for Umbilical Pilonidal Sinus: A Multicenter, Double-Blind, Prospective, Randomized Clinical Trial

Cited by 17 publications

References 18 publications

Umbilical Pilonidal Sinus, an Underestimated and Little-Known Clinical Entity: Report of Two Cases

Umbilical Pilonidal Sinus, an Underestimated and Little-Known Clinical Entity: Report of Two Cases

Scientific surgery

Rare case of umbilical urachal sinus mimicking infected umbilical abscess: A case report

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