Umbilical Pilonidal Sinus: a Case Report

NCT ID: NCT03007173

Last Updated: 2017-01-02

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 2 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2013-01-31
• Study Completion Date: 2016-01-31

Brief Summary

Umbilical pilonidal sinus (UPS) is a rare disease of young, hirsute, dark men with deep navels and poor personal hygiene; however, it can be seen in females. UPS could easily be misdiagnosed and mistreated due to its rarity and lack of awareness in physicians. Diagnosis is easy to establish with physical examination and a detailed history. Treatment is generally depending 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 especially in female patients. In this report, we present two cases of UPS, one in a man and one in a woman with the explanation of its etiopathogenesis and surgical treatment.

Detailed Description

Introduction: Umbilical pilonidal sinus (UPS) is a rare disease of young, hirsute, dark men with deep navels and poor personal hygiene. It is being diagnosed and reported more frequently; however, there is still no consensus regarding its best treatment options.

Presentation of cases: In this report, we present two cases of UPS, one in a man and one in a woman who had typical symptoms with pain, swelling and intermittent malodorous discharge from the umbilicus. They had small sinus openings with hair protruding deep in the navel. Because patients had previous history of failed conservative treatments an umbilicus preserving surgery was performed for both cases.

Conditions

Umbilical Cyst; Pilonidal Sinus

Study Design

• Observational Model Type: CASE_ONLY
• Study Time Perspective: PROSPECTIVE

Interventions

umbilicus preserving surgery

excision of umbilical complex

Intervention Type: PROCEDURE

Other Intervention Names

pilonidal sinus excision

Eligibility Criteria

Inclusion Criteria

• no limitation

Exclusion Criteria

• patients followed-up less than 2 years

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Medical Park Gaziantep Hospital

OTHER

Sponsor Role: lead

Responsible Party

Mehmet Kaplan

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mehmet Kaplan, M.D.

Role: PRINCIPAL_INVESTIGATOR

Medical Park Hospital

Locations

Mehmet Kaplan

Gaziantep, Gaziantep, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Kaplan M, Ozcan O, Kaplan FC, Yalcin HC, Salman B. Conservative vs Surgical Interventions for Umbilical Pilonidal Sinus: A Multicenter, Double-Blind, Prospective, Randomized Clinical Trial. J Am Coll Surg. 2016 May;222(5):878-89. doi: 10.1016/j.jamcollsurg.2016.01.056. Epub 2016 Feb 23.

Reference Type: BACKGROUND

PMID: 27016906 (View on PubMed)

Other Identifiers

MK-013-UPS

Identifier Type: -

Identifier Source: org_study_id