2020 Volume 1 Issue 3 Pages 97-105
Since the umbilicus is located on the surface of the body, many patients visit plastic surgeons for concerns regarding umbilical disorders. We performed a retrospective review of our clinical cases to characterize the types of umbilical lesions treated by plastic surgeons. The majority of lesions that we treated were common in the field of plastic surgery, such as umbilical hernia, skin tumors, and omphalitis with urachal remnants. However, there was a peculiar case of a patient who presented with rectal cancer with umbilical metastases. Metastasis of a visceral malignancy to the umbilicus is known as Sister Mary Joseph's nodule, and it is associated with a poor prognosis. The patient presented with gastrointestinal perforation at the time of initial examination, indicating that some patients who visit plastic surgeons for umbilical lesions may require immediate medical treatment. While urachal remnants are common cystic lesions of the umbilicus, there are some rare cases of patients who present with remnants of the umbilical artery. We also examined the incidence of umbilical artery remnants. Here, we report cases of patients with umbilical lesions in order to identify rare lesions that may otherwise be missed during regular clinical examinations.
