Case 2:
A 54-year-old obese female patient with no medical history presented
with a firm, keratotic, brownish nodule protruding out of the umbilicus,
measuring 1,5 x 1 cm (Figure 2A). The surrounding skin was otherwise
normal. Dermoscopic examination revealed a dry crusted pigmented
lamellar keratotic material (Figure 2B). The diagnosis of omphalolith
was suspected. After 15mn application of petroleum jelly, gentle
traction using dermal forceps allowed its extraction (Figure 2C). It
revealed a narrow and deep umbilicus with no signs of inflammation or
ulceration (Figure 2D). The patient was reassured of the benign
character of the condition and proper body hygiene was advised.