Treatment of Umbilical Pilonidal Sinus Based on Persian Medicine Principles: A Case Report

Document Type : Case reports or series

Author

Department of Traditional Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Background: Umbilical pilonidal sinus (UPS) is caused by penetration of hair into the skin in the umbilical area. Patients may be asymptomatic at first and gradually present with pain, bleeding, pruritus, extravasations, periumbilical dermatitis, and granulation tissue. The standard treatment is surgery, which is aggressive with risk of various complications. Since there is no definite treatment for this disease, and considering the many side effects and complications of treatment options, and also the trend to use alternative and complementary medicine, this case study made an attempt to use Iranian Traditional Medicine (ITM) to treat umbilical pilonidal sinus.
Case Presentation: The patient was a 37-year-old man who presented with extravasation, redness, swelling, and stinging in the umbilical area. The patient had visited a surgeon, where he was advised to undergo surgery. The patient consented to using ITM for treatment and was prescribed Mamraghan poultice with which he was cured after two days of use.
Conclusion: Iranian Traditional Medicine uses various topical treatments to treat ulcers. We used a poultice recommended in PM references to heal and cure UPS.

Keywords


[1] Coşkun A, Buluş H, Faruk Akıncı O, Ozgönül A. Etiological factors in umbilical pilonidal sinus. The Indian journal of surgery 2011;73:54-7.
[2] Meher S, Mishra TS, Sasmal PK, Sharma R, Rout B. Umbilical Pilonidal Sinus: A Report of Two Cases and Recent Update of Literature. Journal of clinical and diagnostic research : JCDR 2016;10:PD20-PD2.
[3] Sarmast MH, Javaherizadeh H, Shahvari MR. Non-surgical treatment of umblical pilonidal sinus in adolescent and adult cases. Polski przeglad chirurgiczny 2011;83:652-3.
[4] Kaplan M, Kaplan ET, Kaplan T, Kaplan FC. Umbilical pilonidal sinus, an underestimated and little-known clinical entity: report of two cases. The American journal of case reports 2017;18:267.
[5] McClenathan JH. Umbilical pilonidal sinus. Canadian journal of surgery Journal canadien de chirurgie 2000;43:225-.
[6] Al-Kadi AS. Umbilical pilonidal sinus. International journal of health sciences 2014;8:307-10.
[7] Shafigh Y, Beheshti A, Charkhchian M, Rad FS. Successful treatment of pilonidal disease by intense pulsed light device. Advances in clinical and experimental medicine : official organ Wroclaw Medical University 2014;23:277-82.
[8] Naraynsingh V, Hariharan S, Dan D. Umbilical pilonidal sinus: a new treatment technique of sinus excision with umbilical preservation. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al] 2009;35:1155-6.
[9] Alizadeh Vaghasloo M, Zareian MA, Soroushzadeh SMA. The Concept of Nozj. Traditional and Integrative Medicine 2016;1:133-5.
[10] Avicenna. Canon (Al-Qanoon fi-ttib) Beirut: Alaalamy Foundation Publication; 2005.
[11] Karimi M, Sadat Paknejad M, Motaharifard MS. Childhood Asthma Treatment in a 12-year-old Boy according to Iranian Traditional Medicine in Tehran. Asian Journal of Clinical Case Reports for Traditional and Alternative Medicine 2017;1:1-8.
[12] M. A. Kabir Garabadin. Tehran: Islamic medicine and complementary medicine institute press; 2004.
[13] Tasneem S, Liu B, Li B, Choudhary MI, Wang W. Molecular pharmacology of inflammation: Medicinal plants as anti-inflammatory agents. Pharmacological research 2019;139:126-40.
[14] Vaughn AR, Branum A, Sivamani RK. Effects of Turmeric (Curcuma longa) on Skin Health: A Systematic Review of the Clinical Evidence. Phytotherapy research : PTR 2016;30:1243-64.
[15] As'adi N, Kariman N, Mojab F, Pourhoseingholi MA. The effect of Saqez (Pistacia atlantica) ointment on nipple fissure improvement in breastfeeding women during one-month follow-up. Avicenna J Phytomed 2017;7:477-85.
[16] Sozen S, Kanat BH, Kanat Z, Bali I, Polat Y. Effective conservative treatment of umbilical pilonidal sinus disease: Silver nitrate? Salt? Annali italiani di chirurgia 2015;86:450-5.
[17] Fazeli MS, Lebaschi AH, Adel MG, Kazemeini AR. Evaluation of the outcome of complete sinus excision with reconstruction of the umbilicus in patients with umbilical pilonidal sinus. World journal of surgery 2008;32:2305-8.
[18] Mohammad Hossein. Aghili. Makhzan-al-Adviyeh. Tehran: SABZ; 2011.