Ultrasonographic findings in primary umbilical endometriosis

Genovese, Giovanni; Passoni, Emanuela; Veraldi, Stefano; Nazzaro, Gianluca

doi:10.1590/abd1806-4841.20187076

Cited by 11 publications

(16 citation statements)

References 5 publications

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“…One of the patients had a pelvic ultrasound. In this patient, the ultrasound features of umbilical endometriosis, which include isoechoic region with hyperechoic foci with or without abundant blood supply on Doppler [9], were not seen. However, other pelvic pathology, including intramural fibroids and ovarian cyst, were discovered.…”

Section: Discussionmentioning

confidence: 60%

“…Although preliminary diagnosis is made on the basis of history and physical examination, imaging may aid in preoperative evaluation. Ultrasound can be used to assess the nodule size and involvement of surrounding tissues and to evaluate other pelvic pathology, hence aiding the planning of surgical management [9]. One of the patients had a pelvic ultrasound.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Umbilical endometriosis: a case series

et al. 2020

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“…Clínicamente, la endometriosis umbilical afecta a mujeres en edad reproductiva y suele aparecer como un nódulo único, sólido y bien definido, de color rojo, azul o negro. En ocasiones se acompaña de dismenorrea, así como de sangrado o inflamación de la lesión durante la menstruación 19 , aunque algunos casos son totalmente asintomáticos 20 . El diagnóstico es clínico, debiendo sospecharlo siempre ante un nódulo umbilical en una mujer en edad fértil, pero habitualmente se retrasa debido a su baja prevalencia, por lo que pueden ser útiles ciertas pruebas de imagen, como la ecografía, la resonancia magnética o la tomografía computarizada.…”

Section: Discussionunclassified

Endometriosis umbilical primaria. Reporte de dos casos

Táboas-Álvarez¹,

López-Carrasco²,

Velacoracho-Pérez³

et al. 2022

RECHOG

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Introducción: La endometriosis es una patología benigna, dependiente de estrógenos, en la que el tejido que normalmente crece dentro del útero aparece fuera de este. Su localización habitual es en la pelvis, pero en ocasiones puede aparecer en otras áreas, como es el caso de la endometriosis umbilical. Objetivo: Familiarizar al ginecólogo con esta patología y entregar una serie de herramientas para diagnosticar, tratar y seguir a las pacientes que la presentan. Casos clínicos: Se presentan dos casos clínicos de endometriosis umbilical primaria diagnosticados en el Hospital La Paz, en Madrid (España), entre los años 2018 y 2019. Las pacientes, de 30 y 34 años, consultaron por dolor o sangrado umbilical durante la menstruación. Ninguna tenía antecedentes de patología ginecológica ni cirugía abdominal previa. Tras una exhaustiva exploración física y una ecografía de alta resolución, se decidió extirpar la lesión con la colaboración del servicio de cirugía plástica. En ambos casos, el estudio anatomopatológico confirmó que se trataba de tejido endometriósico. Las dos pacientes presentaron una buena evolución posquirúrgica, sin recidivas hasta la fecha. Conclusiones: La endometriosis umbilical primaria es una patología infrecuente, pero es necesario incluirla en el diagnóstico diferencial de una mujer con un nódulo umbilical. Siempre deben realizarse una exploración física exhaustiva y una ecografía ginecológica, para descartar posibles patologías concomitantes. El tratamiento de elección es la extirpación quirúrgica de la lesión y el diagnóstico final se establece con el estudio anatomopatológico.

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“…15 Ultrasound can be used to assess the nodule size and involvement of surrounding tissues and to evaluate other pelvic pathology, hence aiding the planning of surgical management. 16 MRI can also be used as a method of preoperative evaluation in suspected endometriosis. MRI features of an umbilical endometriosis includes a homogeneous hypointense lesion on T1-weighted sequence with low signal son T2 weighting.…”

Section: Discussionmentioning

confidence: 99%

Umbilical endometriosis: a case report and review of the literature

Quijano¹,

Negrete²

2021

Int J Res Med Sci

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Endometriosis is defined as the presence of endometrial glands and stroma outside the uterus. It affects 7-10% of women of reproductive age. Most commonly, the condition affects pelvic organs, however, 12% are encountered at extragenital sites, such as lungs, diaphragm, or umbilicus. Authors present the case of a 32 year old patient presenting with secondary umbilical endometriosis, after a recent surgical procedure. Manifesting umbilical mass, pain and catamenial bleeding from the umbilicus.

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Ultrasonographic findings in primary umbilical endometriosis

Cited by 11 publications

References 5 publications

Umbilical endometriosis: a case series

Umbilical endometriosis: a case series

Endometriosis umbilical primaria. Reporte de dos casos

Umbilical endometriosis: a case report and review of the literature

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