Umbilical Pilonidal Sinus: A Report of Two Cases and Recent Update of Literature
Umbilical Pilonidal Sinus (UPS) is a rare differential diagnosis of umbilical disease as encountered by general surgeons. They usually present with history of pain and umbilical discharge. Young active adolescent males with dense hairy abdomen with a deep naval are at risk of developing this disea...
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doaj-cc9985626b6b431397ab722bff922b6e2020-11-25T02:59:13ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-09-01109PD20PD2210.7860/JCDR/2016/20251.8569Umbilical Pilonidal Sinus: A Report of Two Cases and Recent Update of LiteratureSusanta Meher0Tushar Subhadarshan Mishra1Prakash Kumar Sasmal2Rakesh Sharma3Bikram Rout4Senior Resident, Department of Surgery, AIIMS, Bhubaneswar, Odisha, India.Additional Professor, Department of Surgery, AIIMS, Bhubaneswar, Odisha, India.Associate Professor, Department of Surgery, AIIMS, Bhubaneswar, Odisha, India.Senior Resident, Department of Surgery, AIIMS, Bhubaneswar, Odisha, India.Senior Resident, Department of Surgery, AIIMS, Bhubaneswar, Odisha, India.Umbilical Pilonidal Sinus (UPS) is a rare differential diagnosis of umbilical disease as encountered by general surgeons. They usually present with history of pain and umbilical discharge. Young active adolescent males with dense hairy abdomen with a deep naval are at risk of developing this disease. There are no consensus guidelines for the management of this disease probably because of its rarity. Treatment depends on the type of presentation. Most of the cases are managed by conservative treatment with hair extraction and personal hygiene. Surgery is indicated in case of failure of conservative management. Although umbilectomy is a commonly done procedure, complete sinus excision with reconstruction which can be done to have better cosmesis. Incomplete hair extraction from the sinus tract has been found to be the commonest cause of failure of conservative management. In this paper we have presented two cases of UPS, managed conservatively, with no recurrence after one year of follow-up. We have also presented a recent update on current literature about this uncommon disease. https://jcdr.net/articles/PDF/8569/20251_CE[Ra]_F(P)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdfrecurrencesuctionyoung adult |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Susanta Meher Tushar Subhadarshan Mishra Prakash Kumar Sasmal Rakesh Sharma Bikram Rout |
spellingShingle |
Susanta Meher Tushar Subhadarshan Mishra Prakash Kumar Sasmal Rakesh Sharma Bikram Rout Umbilical Pilonidal Sinus: A Report of Two Cases and Recent Update of Literature Journal of Clinical and Diagnostic Research recurrence suction young adult |
author_facet |
Susanta Meher Tushar Subhadarshan Mishra Prakash Kumar Sasmal Rakesh Sharma Bikram Rout |
author_sort |
Susanta Meher |
title |
Umbilical Pilonidal Sinus: A Report of Two Cases and Recent Update of Literature |
title_short |
Umbilical Pilonidal Sinus: A Report of Two Cases and Recent Update of Literature |
title_full |
Umbilical Pilonidal Sinus: A Report of Two Cases and Recent Update of Literature |
title_fullStr |
Umbilical Pilonidal Sinus: A Report of Two Cases and Recent Update of Literature |
title_full_unstemmed |
Umbilical Pilonidal Sinus: A Report of Two Cases and Recent Update of Literature |
title_sort |
umbilical pilonidal sinus: a report of two cases and recent update of literature |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2016-09-01 |
description |
Umbilical Pilonidal Sinus (UPS) is a rare differential diagnosis of umbilical disease as encountered by general surgeons. They usually
present with history of pain and umbilical discharge. Young active adolescent males with dense hairy abdomen with a deep naval
are at risk of developing this disease. There are no consensus guidelines for the management of this disease probably because of its
rarity. Treatment depends on the type of presentation. Most of the cases are managed by conservative treatment with hair extraction
and personal hygiene. Surgery is indicated in case of failure of conservative management. Although umbilectomy is a commonly done
procedure, complete sinus excision with reconstruction which can be done to have better cosmesis. Incomplete hair extraction from
the sinus tract has been found to be the commonest cause of failure of conservative management. In this paper we have presented
two cases of UPS, managed conservatively, with no recurrence after one year of follow-up. We have also presented a recent update on
current literature about this uncommon disease. |
topic |
recurrence suction young adult |
url |
https://jcdr.net/articles/PDF/8569/20251_CE[Ra]_F(P)_PF1(AGAK)_PFA(AK)_PF2(PAG).pdf |
work_keys_str_mv |
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