Case report Open Access Omphalolith presented with peritonitis: a case report

Abstract

which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Omphalolith is a hard, smooth, almost black bolus found in the umbilicus, resembling a malignant melanoma. It is often accompanied by seborrhea which may lead to abscess formation. It may be related to poor hygiene. Patient is usually complaining of umbilical discharge and pain. This report describes a rare case of omphalolith (umbilical stone) induced peritonitis, in a patient who presented as acute appendicitis. In our case the two umbilical stones found their way to the peritoneal cavity and induced peritonitis. Case presentation We present a case of 26-year-old Nepalese male, laborer. He was admitted to our hospital from the Emergency Department complaining of right lower abdominal pain. The pain started seven days back with moderate severity dull aching pain started around umbilicus. The severity and frequency of the pain has increased during the last day. Th