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.