A case report of Villar’s nodule in a woman without surgical history

Ouédraogo, Nabonswindé Lamoussa Marie; Ilboudo, Safy; Ouattara, Abdoul Karim; Ouedraogo, Aimé Sosthène; Zida, Maurice; Zongo, Nayi; Obiri‐Yeboah, Dorcas; Ouangré, Edgar; Simporé, Jacques; Traoré, Si Simon

doi:10.1016/j.ijscr.2018.10.066

Cited by 6 publications

(8 citation statements)

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“…The umbilicus is a physiological scar that is a preferred site for umbilical endometriosis, as described by Yu et al [11] Lymphatic and hematogenous spread to the umbilicus and direct extension of endometrial cells through round ligaments or omphalomesenteric remnants are possible theories to explain the etiology of umbilical endometriosis [6,12].…”

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: 99%

“…Surgical management is the treatment of choice [5,12,13]. Hormone therapy can be used preoperatively for relief of symptoms, but it is not curative.…”

Section: Discussionmentioning

confidence: 99%

Umbilical endometriosis: a case series

et al. 2020

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“…Cea mai frecventă zonă implicată în dezvoltarea endometriozei primare spontane este ombilicul, manifestându-se ipotetic ca cicatrice fiziologică și având o predilecție pentru implanturi endometriale ectopice [16][17][18]. EO primară este o afecțiune extrem de rară, descrisă prin cazuri clinice unice [19,20].…”

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“…Tratamentul. În pofida faptului că până la ora actuală nu există nici un studiu comparativ al medicației terapeutice și tratamentului chirurgical al EO, majoritatea autorilor consideră intervenția chirurgicală drept tratament de bază [5,12,18,19,21,32,36,40,42]. Până în prezent nu există un management standardizat în abordarea EO [5, 16,32,40,[43][44][45].…”

Section: Coexistențaunclassified

“…Din totalitatea formelor de endometrioză extragenitală, endometrioza ombilicală (EO) este o formă rară ce se caracterizează prin prezența unui nodul localizat ombilical, histologia evidențiind aspectul de endometru ectopic . După datele literaturii din străinătate incidența EO variază de la 0.5% până la 1%, din totalitatea formelor endometriozei extragenitale [1-5, 7, 9, 10, 14,[18][19][20]22]. În același timp EO reprezintă 30-40% din diversitatea formelor de endometrioză cutanată [2,3,4,6,12].…”

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Endometrioza ombilicală

Ana¹,

Zaharia²,

Șcerbatiuc-Condur³

et al. 2022

Surgery

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Umbilical endometriosis. Umbilical endometriosis (UE) is attributed to the rare forms of extragenital endometriosis presented in the literature through unique clinical trials or limited series. UE is a very rare condition with an estimated prevalence of <1% of all ectopic endometriosis. The first description of a primary umbilical endometrioma is credited to Villar in 1886, hence the term Villar’s nodule. UE is even more difficult to diagnose due to the extreme lack of clarity in clinical signs. Given the location of the given pathology, a differential diagnosis with other umbilical surgical diseases is necessary. A review of the literature of the last 10 years was generated based on PubMed and Google Scholar research, selecting some specific keywords. Several lesions can occur in the umbilical region, and endometriosis has to be ruled out even in patients without any surgery in their medical history. Surgery is the gold standard treatment for this condition. Considering the multitude of pathologies of the umbilical region that may look similar to EO, this condition must be considered in the differential diagnosis. Radical surgical excision is the preferred treatment aimed at preventing recurrence and reducing the risk of malignant transformation.

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