Look the shape and position of umbilicus.
Describe the normal position of umbilicus :
Everted—Seen in any condition giving rise to increased intra-abdominal tension like ovarian
cyst, pregnancy, hydramnios. severe gaseous distension etc.
Inverted—Normally in health and in obesity.
Slit of umbilicus
Vertical slit is noted in - Ovarian tumor - Horizontal slit in - Ascites
Omphalolith – presence of inspissated desquamated epithelium and other debris
Describe the normal position of umbilicus :
- Umbilicus lies more or less in the midway between xiphlsternum and symphysis pubis
- Normally It is inverted and slightly retracted.
- The slit is circular, le. neither horizontal nor vertical (the slit is transverse in ascites, and vertical in the presence of ovarian cyst).
Everted—Seen in any condition giving rise to increased intra-abdominal tension like ovarian
cyst, pregnancy, hydramnios. severe gaseous distension etc.
Inverted—Normally in health and in obesity.
Slit of umbilicus
Vertical slit is noted in - Ovarian tumor - Horizontal slit in - Ascites
Omphalolith – presence of inspissated desquamated epithelium and other debris
- Umbilicus is buried in fat in obesity
- Increase in distance between umbilicus and xiphisternum noted in upper abdominal mass and ascites
- Increase in distance between umbilicus and symphysis pubis observed in Lower abdominal mass
- Shift of umbilicus to opposite side occur to due to masses of lumbar and iliac fossa
- Metastatic deposit in the umbilicus is noted in Sister Joseph nodule.
