Kasturi in Humans: Omphalolith - The Naval Stone with Foul Odour: A Rare Case Report

Omphalolith is an uncommonly encountered benign umbilical lesion. Omphaloliths (omphalos, Greek = navel, lithos, Greek = stone) are rare lesions of the umbilicus which have nothing to do with acne, although they have the appearance ofgreat open comedones. Synonyms are omphalokeratolith, umbilical bolus, inspissated umbilical bolus, or navel stone. Omphalolith is a hard, smooth, almost black bolus found in the umbilicus, resembling a malignant melanoma. This calculus may remain undiagnosed for many years until revealed by secondary infection or ulceration 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. If the clinician is aware about the entity, management is easy and comprises of evacuation of the lesion. Here we report a case of 28 yr old male presented with discharge and foul smelling through umbilicus with infraumbilical abscess and omphalolith for which Incision and drainage with removal of the naval stone was done.