Abstract

Pilonidal sinus disease is characterized by a granulomatous reaction to a hair shaft penetrating epidermis from the cutaneous surface. Commonly seen in sacro-coccygeal region, however it can be encountered in the umbilical area. Umbilical pilonidal sinus is a rare entity. Even though there is no general consensus on the treatment of this disease, a balance between conservative and surgical treatment should be maintained. Various surgical approaches has been described ranging from debridement of the sinus, to sinus resection with umbilical reconstruction up till reaching umbilectomy