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Omphalolith
The Indian Journal of Surgery
|June 2, 2012
Summary
Omphalolith, a rare calculus formed from sebum and keratin in the navel, can go undiagnosed for years. This case highlights an omphalolith discovered in an elderly woman, often linked to obesity and retracted umbilicus.
Area of Science:
- Dermatology
- Gastroenterology
- Pathology
Background:
- Omphalolith (or umbolith) is an uncommon condition.
- It typically forms in individuals with a deeply retracted umbilicus and obesity.
- Accumulation of sebum and keratin contributes to calculus formation.
Purpose of the Study:
- To report an interesting case of omphalolith.
- To discuss the potential for long-term asymptomatic presentation.
- To highlight diagnostic considerations in elderly patients.
Main Methods:
- Case report presentation.
- Clinical examination of the umbilicus.
- Review of relevant medical literature.
Main Results:
- An omphalolith was identified in an elderly female patient.
- The calculus was potentially present for many years without diagnosis.
- Secondary infection or ulceration can be presenting signs.
Conclusions:
- Omphaloliths, though rare, should be considered in the differential diagnosis of umbilical abnormalities.
- Obesity and retracted umbilicus are predisposing factors.
- Delayed diagnosis is possible until complications arise.
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