DefinePK

Research Objective

To present a case report of an umbilicolith incidentally discovered during laparoscopic paraumbilical hernia repair surgery and to highlight the importance of vigilance for such rare findings.

Methodology

Case report detailing a laparoscopic paraumbilical hernia repair surgery. The umbilicolith was identified and removed intraoperatively.

Methodology Flowchart

                        graph TD;
    A[Patient presents with umbilical swelling and pain] --> B[Ultrasound confirms paraumbilical hernia];
    B --> C[Laparoscopic hernia repair];
    C --> D[Intraoperative identification of umbilicolith];
    D --> E[Removal of umbilicolith];
    E --> F[Repair of paraumbilical hernia];
    F --> G[Post-operative recovery and follow-up];
    G --> H[Conclusion: Successful management of incidental finding];                    

Discussion

Umbilicoliths are rare, typically asymptomatic, and formed from accumulated debris in the umbilical cavity. They can be mistaken for malignant melanoma. While often asymptomatic, secondary complications like inflammation or infection can occur. Diagnosis can be made clinically or via imaging, but in this case, it was an intraoperative finding. Treatment involves surgical removal.

Key Findings

An umbilicolith, a rare calcified concretion within the umbilical cavity, was incidentally found during laparoscopic repair of a paraumbilical hernia in a 39-year-old female patient. The umbilicolith measured approximately 3 mm and was successfully removed. The patient experienced an uneventful recovery and complete resolution of symptoms.

Conclusion

The case emphasizes the need for surgeons to be vigilant for unexpected findings like umbilicoliths during laparoscopic hernia repair. Early diagnosis and removal can prevent complications and improve patient outcomes. Documenting such rare cases contributes to a better understanding and management of umbilicoliths.

Fact Check

1. Patient Age: The patient was a 39-year-old female. (Confirmed in Case Presentation)
2. Hernia Type: The patient presented with a paraumbilical hernia. (Confirmed in Title, Abstract, Case Presentation, and Discussion)
3. Umbilicolith Size: The extracted umbilicolith measured approximately 3 mm. (Confirmed in Case Presentation)

Mind Map