Skip to main content Skip to main navigation menu Skip to site footer

Self-foreign omphalitis in adult: a case report


Introduction: Severe omphalitis in adults is rare and can be caused by both congenital and acquired etiologies. We are reporting an impacted self-foreign-body in omphalitis case induced by accumulated keratin fragments.

Case: A 28-year-old overweight male presented with a 3-day history of persistent purulent umbilical discharge with a remittent fever a few days before, constant abdominal tenderness with edema and erythema around navel area. There were no other GIT-related symptoms. He was given oral antibiotics, which showed no improvement. Upon surgery, we examined deep umbilical cavity without urachal connection to the navel. From the umbilical cavity scooped out multiple polypoid umbolith debris. Histopathologic examination revealed pyogenic granuloma with numerous keratin fragments without any foreign bodies.

Conclusion: An impacted and infected self-foreign-body may be a cause of omphalitis in adults and could lead to severe and wide-spread infection if left untreated.


  1. Patel N. Review of Omphalitis Interventions in India, Nepal and Pakistan Using Proximal, Intermediate and Distal Risk Factors. Public Health Capstone Projects [Internet]. 2016 Oct 1st ;
  2. Available from:
  3. Sjamsuhidajat R, Wim DJ.Textbook of Surgery. 3rd ed. Vol. 1. Jakarta: Penerbit Buku Kedokteran ECG; 2016.
  4. Purnomo BB. Anatomy of Urinary Tract. In: Basic Urology. 3rd ed. Jakarta: SagungSeto; 2014. p. 225.
  5. Walker C. A Case Report of Urachal Abscess: A Rare Differential in Adult Abdominal Pain. Hawai’i Med J. 2010 Feb;69.
  6. Rodrigues G. Umbolith: a cause of umbilical discharge and omphalitis. Infection. 2015;43(5):62-68.
  7. Sarma DP, Teruya B. Lint ball omphalitis, a rare cause of umbilical discharge in an adult woman: a case report. Cases J. 2009;2(1):7785–6.
  8. Omphalitis [Internet]. Background, Pathophysiology, Etiology. 2018 [cited 2019 Apr 16th]. Available from:
  9. Hsu C-C, Liu Y-P, Lien W-C, Lai T-I, Chen W-J, Wang H-P. Urachal abscess: a cause of adult abdominal pain that cannot be ignored. Am J Emerg Med. 2005;23(2):229–30.
  10. Ekwueme KC, Parr NJ. Infected urachal cyst in an adult: a case report and review of the literature. Cases Journal. 2009;2(1):6422-26.
  11. Lucerna A, Lee J, Espinosa J, Hertz R, Scali V. An Adult with a Remnant Urachus Anomaly Diagnosed in the Emergency Department. Case Reports Emerg Med. 2018;2:1–3.
  12. Steinhauser G: The nature of navel fluff. Med Hypotheses. 2009;72:623-625.
  13. Ching-Ming Kwok. Infected urachal cyst in an adult: a laparoscopic approach. Case Rep Gastroenterol. 2016;10:269–274.
  14. De Silva WD, Samarasinghe MC, Dias MN, Perera CS. Ectopic gastric and pancreatic tissue: a rare cause of umbilical discharge. Am Trop Paediatr. 2010;30(1):73-5.

How to Cite

Soesilo, D. A., & Baby, A. (2020). Self-foreign omphalitis in adult: a case report. Intisari Sains Medis, 11(1), 129–131.




Search Panel