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Case Reports
. 2009 Aug 5:2:8191.
doi: 10.4076/1757-1626-2-8191.

Omphalolith presented with peritonitis: a case report

Hijran R Mahdi  1 , Hany M El Hennawy
Affiliations
Case Reports

Omphalolith presented with peritonitis: a case report

Hijran R Mahdi et al. Cases J. .

Abstract

Omphalolith is a hard, smooth, almost black bolus found in the umbilicus, resembling a malignant melanoma. It is often accompanied by seborrhea which may lead to abscess formation. It may be related to poor hygiene. Patient is usually complaining of umbilical discharge and pain. This report describes a rare case of omphalolith (umbilical stone) induced peritonitis, in a patient who presented as acute appendicitis. In our case the two umbilical stones found their way to the peritoneal cavity and induced peritonitis.

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Figures

Figure 1.
Figure 1.
The umbilical stone.
Figure 2.
Figure 2.
Showing the umbilical fistulous track which is probed by forceps.
Figure 3.
Figure 3.
Showing the umbilical fistulous track which is probed by forceps.
Figure 4.
Figure 4.
Showing the umbilical fistulous track which is probed by forceps.
See this image and copyright information in PMC

References

    1. Friedman SJ, Liles WJ. Omphalokeratolith. Cutis. 1987;40(2):144–146. - PubMed
    1. Ehring F. Omphalolith. Hautarzt. 1979;30(9):494–496. - PubMed
    1. Imaizumi T. A case of omphalith in a patient with seborrheic keratosis of the umbilicus. Ann dermatol Venereol. 1989;116(1):27–28. - PubMed
    1. Tsukasa H, Hidetsugu M, Koji K, Eiji T, Masayuki O. A case of a huge umbilical stone with difficulty in removal. Journal of Japan Surgical Association. 2003;64(6):1511–1514. [Japanese]

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