- Case Report
- Open Access
'Lint ball' omphalitis, a rare cause of umbilical discharge in an adult woman: a case report
© licensee BioMed Central Ltd. 2009
- Received: 13 May 2009
- Accepted: 4 July 2009
- Published: 27 July 2009
Umbilical discharge in adult is rare and is usually induced by foreign material, most commonly hair. Rarely, it may be due to embryonal anomalies. We are reporting an unusual case of umbilical discharge in adult secondary to an impacted lint ball.
A 55-year-old obese woman presented with a 4-month history of hemorrhagic discharge from the umbilicus. Deep from the base of the umbilicus, a 0.8 cm gray-tan mass was removed that on microscopic examination revealed a lint ball.
An impacted lint ball may be a rare cause of umbilical discharge in adult.
- Pilonidal Sinus
- Pilonidal Sinus Disease
- Urachal Cyst
- Vitelline Duct
The patient remained completely asymptomatic at the follow-up visit one month later.
Umbilical discharge in adult is rare but can be quite alarming. It may be caused by various congenital or acquired conditions. Patients with embryonal anomalies, such as patent urachus, urachal cyst or sinus, patent vitelline duct, vitelline cyst or sinus may present as umbilical discharge . However, the most common cause of umbilical discharge in adult is acquired conditions, such as pilonidal sinus disease [2, 3], infection due to hair tufts and foreign bodies , and non-specific acute and chronic inflammation and abscess of the umbilicus . Very rare causes include endometriosis and metastatic carcinoma .
The present case is definitely a foreign body-induced omphalitis. Hairball is the most common type of foreign body seen in such cases. Most of the patients are young, hairy male with deep umbilicus with poor personal hygiene . One interesting report of foreign body-induced umbilical discharge, similar to the present case was that of a 47-year-old obese female with an old toilet paper ball in the umbilicus .
We could not find any reported case of 'lint ball omphalitis'.
Finding of 'belly-button lint' is quite common among hairy man. Usually it is washed off during bathing or shower and rarely does it cause any inflammation. Steinhauser has recently suggested that abdominal hair is mainly responsible for directing the fibers from clothes into the navel where they are compacted . Shaving abdominal hair can prevent lint accumulation in the umbilicus.
Obesity, deep umbilicus, and poor hygiene may have been the predisposing factors for developing lint accumulation and subsequent omphalitis in our patient.
Written consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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