Khemchand Agrawal Kavita, Kundal Ajay, Saxena Puja, Gill Ravneet Kaur
Department of General Surgery, Dr. B. R. Ambedkar State Institute of Medical Sciences, Mohali, Punjab, India.
Department of General Anaesthesia, Dr. B. R. Ambedkar State Institute of Medical Sciences, Mohali, Punjab, India.
J Minim Access Surg. 2024 Jul 30. doi: 10.4103/jmas.jmas_22_24.
The umbilical pilonidal sinus (UPS) is a rare clinical entity and is not easily diagnosed unless there is a high suspicion. Pilonidal sinuses are most frequently seen around the gluteal cleft, but occasionally can be observed on other areas of the body, including the breast, webs of fingers, axilla and umbilicus. UPS is one of the rarest subtypes. Risk factors for UPS are similar to those for gluteal cleft pilonidal cysts and include young age, male gender, obesity, hairy body and poor personal hygiene. The traditional approach of treatment is usually conservative or surgical excision of the sinus with or without umbilectomy through the open technique. We discuss a case of UPS in an adult male having a concurrent urachal cyst with the urachal tract. We report our experience in laparoscopic management of this case after the failure of a conservative approach, with favourable outcomes at 1-year follow-up.
脐部藏毛窦（UPS）是一种罕见的临床病症，除非高度怀疑，否则不易诊断。藏毛窦最常见于臀沟周围，但偶尔也可见于身体的其他部位，包括乳房、指蹼、腋窝和脐部。UPS是最罕见的亚型之一。UPS的危险因素与臀沟藏毛囊肿相似，包括年轻、男性、肥胖、多毛体质和个人卫生差。传统的治疗方法通常是保守治疗或通过开放技术对窦道进行手术切除，可选择或不选择脐切除术。我们讨论了一例成年男性同时患有脐尿管囊肿和脐尿管的UPS病例。我们报告了在保守治疗失败后对该病例进行腹腔镜治疗的经验，1年随访结果良好。
