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- Umbilical Pilonidal Sinus: A Rare Presentation You Should Know AboutUmbilical pilonidal sinus (UPS) is a very rare condition that most people have never heard about. It looks simple at first glance, but it can cause repeated pain, infection, and discharge if not diagnosed properly. While the common type of pilonidal sinus usually occurs near the tailbone, in the umbilical pilonidal sinus, the disease develops inside or around the belly button. At...0 Comments 0 Shares 909 Views