1. Careful surveillance of the periumbilical region is indicated in patients with a colonic malignancy to avoid overlooking possible metastatic implants, in order to provide early curative treatment.

2. Such as groin patieats, periumbilical ditch, armpit areas such as the patieats.

3. We describe a 45-year-old woman with a 20-year history of endometriosis presenting with a 3-year history of intermittent cramping periumbilical and lower abdominal pain.

4. Symptoms include diarrhea and cramping or pain in the right lower quadrant and periumbilical area, especially after meals.

5. Internal hernias are silent if they are easily reducible, but the majority often cause epigastric discomfort, periumbilical pain, and recurrent episodes of intestinal obstruction (3,5).

6. Examination of remaining parts of the body, including interdigital webs, axilla and periumbilical area, revealed no signs of scabies.

7. A 16-year-old girl with a history of irritable bowel syndrome pressents to the emergency department with stabbing periumbilical abdominal pain.