World Journal of Surgery

, Volume 29, Issue 9, pp 1158–1160 | Cite as

Umbilical Pilonidal Sinus Disease: Predisposing Factors and Treatment

  • Ramazan Eryilmaz
  • Mustafa Sahin
  • Ismail Okan
  • Orhan Alimoglu
  • Adnan Somay


Pilonidal sinus disease is a common problem of sacrococcygeal region. However, it is also observed in the periumbilical area. There are only a few reports about umbilical pilonidal sinus in the literature. In this study, 26 patients (24 men (92 %), 2 women (8 %) with a mean age of 22 years) with umbilical pilonidal sinus disease were included. Predisposing factors, patient characteristics, treatment modalities, and their results have been studied. Male sex, young age, hairiness, deep navel, and poor personal hygiene were found to be predisposing factors. Twenty-five patients were treated conservatively. However, two patients failed to respond to conservative treatment. Those patients underwent surgery where umbilectomy was carried out without reconstruction. One patient was also operated on for the preoperative misdiagnosis of irreducible umbilical hernia. Patients were followed for 14–96 months. We recommend conservative treatment in patients with umbilical pilonidal sinus. Surgery should be performed in recurrent cases resistant to conservative treatment. The importance of differential diagnosis of umbilical pilonidal sinus from other umbilical pathologies is also emphasized.


Umbilical Hernia Pilonidal Sinus Purulent Discharge Pilonidal Disease Pilonidal Sinus Disease 
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  1. 1.
    Hull TL, Wu J. Pilonidal disease. Surg. Clin. North Am. 2002;82:1169–1185CrossRefPubMedGoogle Scholar
  2. 2.
    Silva JH. Pilonidal cyst: cause and treatment. Dis. Colon Rectum 2000;43:1146–1156CrossRefPubMedGoogle Scholar
  3. 3.
    Eryilmaz R, Sahin M, Alimoglu O, et al. Surgical treatment of sacrococcygeal pilonidal sinus with the Limberg transposition flap. Surgery 2003;134:745–749CrossRefPubMedGoogle Scholar
  4. 4.
    Schoelch SB, Barrett TL. Umbilical pilonidal sinus. Cutis 1998;62:83–85PubMedGoogle Scholar
  5. 5.
    Gupta S, Sikora S, Singh M, et al. Pilonidal diseaseof the umbilicus—a report of two cases. Jpn. J. Surg. 1990;20:590–592PubMedGoogle Scholar
  6. 6.
    Thorlakson RH. Pilonidal sinus of the umbilicus. Br. J. Surg. 1966;53:76–78PubMedGoogle Scholar
  7. 7.
    McClenathan JH. Umbilical pilonidal sinus. Can. J. Surg. 2000;43:225PubMedGoogle Scholar
  8. 8.
    Stephens FO, Stephens RBH. Pilonidal sinus: management objectives. Aust. N.Z. J. Surg. 1995;65:558–560PubMedGoogle Scholar
  9. 9.
    Colapinto ND. Umbilical pilonidal sinus. Br. J. Surg. 1977;64:494–495PubMedGoogle Scholar
  10. 10.
    Sroujieh AS, Dawoud A. Umbilical sepsis. Br. J. Surg. 1989;76:687–688PubMedGoogle Scholar
  11. 11.
    Steck WD, Helwig EB. Umbilical granulomas, pilonidal disease and urachus. Surg. Gynecol. Obstet. 1965;120:1043–1057PubMedGoogle Scholar
  12. 12.
    Dixit SP. Pilonidal sinus of the umbilicus. Can. J. Surg. 1976;19:422–426PubMedGoogle Scholar
  13. 13.
    Abdelnour A, Aftimos G, Elmasri H. Conservative surgical treatment of 27 cases of umbilical pilonidal sinus. J. Med. Liban 1994;42:123–125PubMedGoogle Scholar
  14. 14.
    Klass AA. So called pilonidal sinus. Can. Med. Assoc. J. 1956;75:737PubMedGoogle Scholar
  15. 15.
    El-Bakry AA. Discharging umbilicus. Saudi Med. J. 2002;23:1099–1100PubMedGoogle Scholar

Copyright information

© Société Internationale de Chirurgie 2005

Authors and Affiliations

  • Ramazan Eryilmaz
    • 1
  • Mustafa Sahin
    • 1
  • Ismail Okan
    • 1
  • Orhan Alimoglu
    • 1
  • Adnan Somay
    • 2
  1. 1.Department of General SurgeryVakif Gureba Training HospitalTurkey
  2. 2.Department of PathologyVakif Gureba Training HospitalTurkey

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