Primary umbilical endometriosis

Filho, Paulo Vicente dos Santos; Santos, Marcelo F.; Castro, S Marcelo; Melo, Valdinaldo Aragão de

doi:10.1590/0100-6991e-20181746

Cited by 10 publications

(14 citation statements)

References 6 publications

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“…This finding contrasts with the case series of Filho et al, which investigated patients with umbilical nodules: five of their six patients had borne children. Although the women in that series reported dysmenorrhea, pelvic endometriosis was not explored with laparoscopy [20]. These results support the different patterns seen in our study population.…”

Section: Discussionsupporting

confidence: 83%

“…Many authors do not recommend exploratory laparoscopy to look for possible concurrent pelvic endometriosis [13,14,20,29]. Because of the higher associated risks in patients without a surgical history, we recommend limiting this invasive procedure to women who present with incisional endometriosis and with symptoms compatible with associated pelvic endometriosis (dysmenorrhea, deep dyspareunia, pelvic pain).…”

Section: Discussionmentioning

confidence: 99%

“…Because AWE is an uncommon condition, no prospective study has evaluated the size of safety margins [1]. Ding & Zhu and Rindos et al proposed margins of at least 1 cm to avoid recurrence and/or malignant transformation [4,20]. The multivariate analysis of Zhao and al.…”

Section: Discussionmentioning

confidence: 99%

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Abdominal wall endometriosis: An 11-year retrospective observational cohort study

Marras

Pluchino

Petignat

et al. 2019

European Journal of Obstetrics & Gynecology and Reproductiv

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ObjectiveThe objective of this study was to review the records of patients with excised abdominal wall endometriosis (AWE) to determine patient characteristics, diagnostic methods, presence of concurrent pelvic endometriosis and type of surgery.Study designMedical records from an 11-year period were searched to identify histologically confirmed AWE cases. Descriptive data were collected and analyzed. Two subgroups were differentiated: isolated AWE and pelvic endometriosis-associated AWE.ResultsThirty-five women with AWE were included. The most common symptom was cyclic abdominal or parietal pain (68.6%); 17.1% of the women had no symptoms. Twenty-nine women (82.8%) had a history of gynecological or obstetrical surgery, most commonly cesarean section (CS). The mean interval between prior surgery and appearance of symptoms was 5.3 years. Six women (17.1%) had no prior surgery; all six presented with umbilical nodules, nulliparity and confirmed mild to severe pelvic endometriosis. Among all patients, 34.3% had concurrent pelvic endometriosis, 40% presented with isolated AWE and 25.7% had no pelvic exploration. Women with concurrent pelvic endometriosis had significantly lower parity, smaller nodule size and a higher likelihood of umbilical location than those with isolated AWE (p < 0.05). A history of CS was more commonly found in women with isolated AWE. The overall recurrence rate over the study period was 11.4%, with a mean follow-up period of 5.2 years.ConclusionsAWE is an uncommon condition associated with long diagnostic and therapeutic delays. In patients with umbilical AWE and no surgical history, pelvic endometriosis is commonly present and should be highly suspected.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

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Abdominal wall endometriosis: An 11-year retrospective observational cohort study

Marras

Pluchino

Petignat

et al. 2019

European Journal of Obstetrics & Gynecology and Reproductiv

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“…None of the five patients had a prior laparoscopic surgery; however, one had two prior cesarean sections. Secondary umbilical endometriosis can occur following cesarean sections in 1% of cases [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Umbilical endometriosis: a case series

et al. 2020

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Background: Endometriosis is the presence of endometrial tissue outside the uterine cavity. The lesions are typically found in the pelvic cavity but can occur in other extrapelvic areas. Umbilical endometriosis, also known as Villar's node, is a rare disease comprising 0.5-1% of all extrapelvic disease. It commonly presents with cyclical pain and bleeding from an umbilical nodule. Case series: We present a retrospective case series of five African patients with umbilical endometriosis diagnosed and treated between July 2015 and February 2019 at a tertiary health facility. The patients were aged between 31 and 47 years, and all presented with an umbilical swelling and pain. They had lesions with diameters ranging from 1.6 cm to 4 cm. The duration of symptoms ranged between 3 and 60 months. Their diagnoses were made on the basis of clinical presentation followed by surgical excision. In all the cases, diagnosis was confirmed by histopathology with no malignancy detected. Conclusion: Umbilical endometriosis is a rare condition that should be considered as a differential diagnosis in women with umbilical lesions. Diagnosis is mostly clinical; most patients present with umbilical swelling, cyclical pain, and bleeding or discharge. Imaging has a limited role. Surgical excision is the treatment of choice with low risk of malignancy or recurrence.

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“…Endometriosis is a chronic rare disorder characterized by the presence of ectopic functional endometrial tissues outside the uterine cavity, such as lung, genital and urinary tracts, surgical scars, or umbilicus. This condition affects 6%‐10% of women in the reproductive age 1 . Umbilical endometriosis, also known as Villar's nodule, is quite rare and usually occurs secondary to surgical scars.…”

Section: Introductionmentioning

confidence: 99%