Pilonidal omphalitis in a teenager: A case report

IF 0.2 Q4 PEDIATRICS

Journal of Pediatric Surgery Case Reports Pub Date : 2025-02-01 DOI:10.1016/j.epsc.2024.102948

Humaid Alzaabi, Mohammad Ilyas Bader

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Abstract

Introduction

Pilonidal omphalitis (PO) is a rare manifestation of retained hair in the umbilicus that can lead to inflammation and present with umbilical pain and discharge.

Case presentation

A previously healthy 15-year-old male presented with a one-year history of foul-smelling, serosanguinous umbilical discharge and associated pain. He reported no other symptoms or underlying issues. A course of topical antiseptic (povidone-iodine) was ineffective, and ultrasound imaging revealed no underlying pathology. Umbilical exploration identified an umbilical pilonidal sinus containing hair. The hair was removed, and the granulation tissue was cauterized using bipolar diathermy. The postoperative course was uneventful, and during routine follow-up visits, the patient reported significant symptom resolution with no further complaints.

Conclusion

Pilonidal omphalitis should be included in the differential diagnosis for young adolescents with significant hair growth who present with umbilical discharge. Prompt and thorough treatment is essential to prevent a prolonged disease course.

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青少年毛鞘性脐炎1例报告

毛囊性脐炎（PO）是一种罕见的脐部保留毛发的表现，可导致炎症，并表现为脐部疼痛和分泌物。病例表现：既往健康的15岁男性，有一年的恶臭、血液性脐带分泌物和相关疼痛史。他没有报告其他症状或潜在问题。一个疗程的局部抗菌剂（聚维酮碘）无效，超声成像显示没有潜在的病理。脐探查发现一个含有毛发的脐毛窦。毛发被去除，肉芽组织用双极透热灼烧。术后过程平淡无奇，在常规随访期间，患者报告明显的症状缓解，没有进一步的抱怨。结论毛囊性脐炎对有明显毛发生长表现的青少年脐带分泌物应纳入鉴别诊断。及时彻底的治疗对防止病程延长至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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