Umbilical Pilonidal Sinus: a Case Report
Umbilical Pilonidal Sinus: a Case Report
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.
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.
Inclusion Criteria:

 -  no limitation

 Exclusion Criteria:

 -  patients followed-up less than 2 years