A CASE OF A HUGE UMBILICAL STONE WITH DIFFICULTY IN REMOVAL

Accession number;03A0470784
Title;A CASE OF A HUGE UMBILICAL STONE WITH DIFFICULTY IN REMOVAL
Author;IHARA TSUKASA(Chikuhorosaibyoin Geka)   MURAKAMI HIDETSUGU(Chikuhorosaibyoin Geka)   KADOWAKI KOJI(Chikuhorosaibyoin Geka)   TANAKA EIJI(Chikuhorosaibyoin Geka)   OKABE MASAYUKI(Chikuhorosaibyoin Geka)   
Journal Title;Journal of Japan Surgical Association
Journal Code:Z0103A
ISSN:1345-2843
VOL.64;NO.6;PAGE.1511-1514(2003)
Figure&Table&Reference;FIG.5, REF.6
Pub. Country;Japan
Language;Japanese
Abstract;A 90-year-old woman was seen at the hospital because of swelling and pain of the umbilical region. A black umbilical stone 3cm in size was confirmed at the umbilical region. There were tenderness and redness around the navel. She had no memory of washing the navel until now and had undergone no surgery. Abdominal plain x-ray examination showed no abnormal findings, but an abdominal CT scan revealed a lamellar stone 3cm in size in the navel. Our attempts to squeeze the stone from the umbilical foramen were in vain, so that, under local anesthesia to the periumbilical area, the stone was removed from the sufficiently opened foramen. The removed stone was 27*26*13mm in dimension. Dirt with unpleasant odor was present in the umbilical pouch after the stone was removed and umbilical inflammation was associated. So far only several cases of umbilical stone have been reported in the Japanese literature. And no huge umbilical stone as we have difficulty in removal like in this case has been reported. This case is thought to be of very rare. (author abst.)