An unusual case of asymptomatic spontaneous umbilical endometriosis treated with skin-sparing excision

Arkoulis, Nikolaos; Chew, Ben K.

doi:10.1093/jscr/rjv017

Cited by 9 publications

(12 citation statements)

References 8 publications

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“…22,23 There are studies which report only constant pain which is not associated with menstruation. 20,25 History of pelvic endometriosis is seen 26% of the cases. 25 The nodule can vary in size and color (bluish to brown) which depends upon the duration.…”

Section: Discussionmentioning

confidence: 99%

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Umbilical endometriosis along with peritoneal endometriosis: a case report

Devi¹,

Devi

2019

Int J Reprod Contracept Obstet Gynecol

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Incidence of endometriosis is around 10 to 15% in women of reproductive age group. Umbilical endometriosis is a very rare entity. Extra genital endometriosis accounts to 3% of endometriosis. Incidence of umbilical endometriosis is 0.5%-4% of extra genital endometriosis. 30 years old multi gravida was referred to our hospital with c/o periodic bleeding from the umbilicus for the past 3 months. She was also having dysmenorrhoea for about 3 months. On examination, patient had a small bluish nodule in the umbilicus around 1.5x1.2 cm in size. Clinically there was suspicion of pelvic endometriosis as the uterus was retroverted and fixed. CT abdomen showed a small hypo-echoeic area in the umbilicus and uterus was adenomyotic with normal ovaries. Patient was given the option of laparoscopy and excision of umbilicus, as there was suspicion of peritoneal endometriosis and the patient also insisted upon laparoscopic sterilization. Laparoscopy showed early peritoneal endometriosis with pelvic adhesions and the same adhesiolysis was done along with cauterization of endometriosis. Sterilization was also done as per the patient’s request. Umbilical excision and layer closure was done. Umbilical endometriosis is a rare entity. This patient had associated early pelvic endometriosis. Umbilical endometriosis could be secondary to the lympho vascular spread from the pelvic endometriosis or primary umbilical endometriosis. History, clinical and imaging were pointing towards umbilical endometriosis. Surgical excision of umbilical endometriosis and cauterisation of early pelvic endometriosis were done. Patient needs follow up. Umbilical endometriosis may be primary or secondary which needs total excision and follow up.

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Section: Discussionmentioning

confidence: 99%

“…20,25 History of pelvic endometriosis is seen 26% of the cases. 25 The nodule can vary in size and color (bluish to brown) which depends upon the duration. This patient presented with classical features of cyclical bleeding from the umbilicus.…”

Section: Discussionmentioning

confidence: 99%

Umbilical endometriosis along with peritoneal endometriosis: a case report

Devi¹,

Devi

2019

Int J Reprod Contracept Obstet Gynecol

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“…Clinical symptoms typically include pain, bleeding, and swelling concurrently with menstruation, however others are asymptomatic [9] [10]. The presence of a previous history of endometriosis is common (26% of cases) [11], frequently associated with complaints of dysmenorrhoea, dyspareunia, or defecation pain [2].…”

Section: Discussionmentioning

confidence: 99%

A Curious Case of Recurrent Umbilical Swelling: Case Report and Literature Review

Nour¹,

Husain²,

Waraich³

2018

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Background: Umbilical endometriosis, a rare benign condition, is clinically difficult to differentiate from other diseases that result in the formation of an umbilical nodule. It is caused by the presence of ectopic endometrial tissue in the umbilicus, which overtly presents as a painful, discoloured swelling in the umbilicus. However, in our case the presentation wasn't as obvious. The endometrial tissue was embedded within an umbilical hernia. Case Summary: Our patient was a 37-year-old female with a past medical/surgical history of a subtotal colectomy for ulcerative colitis in 2001 followed by an ileo-rectal anastomosis. 17 years later, she was referred to the surgical outpatient clinic from GP practice with a painful umbilical/incisional hernia surrounding the previous scar and just above the umbilicus, this pain, particularly worsening during her menstrual cycle. Multiple blood tests and ultrasound scans of her abdomen failed to diagnose a cause for her agony which mandated an elective excision of the swelling. This successfully resolved her symptoms. Conclusion: Umbilical endometriosis is a potential diagnosis in females with a painful umbilical swelling, imaging has no diagnostic role and excision is the definitive treatment.

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“…Endometriosis is a common disorder, defined as the extrauterine presence of endometrial glands and stroma. It is a common, estrogen-dependent inflammatory disease, affecting 3–10% of women in the reproductive age [ 24 , 25 ]. Endometriosis is mostly located in the pelvis but can also be encountered at nearly any organ of the body, as the lungs, bowel, ureter, brain, inguinal canal, and abdominal wall [ 3 , 26 – 28 ].…”

Section: Discussionmentioning

confidence: 99%

Umbilical Nodule with Cyclical Bleeding: A Case Report and Literature Review of Atypical Endometriosis

Andrade

Freitas

Câmara

et al. 2016

Case Reports in Obstetrics and Gynecology

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Endometriosis is defined as the presence of endometrial glands and stroma outside the uterus. It affects 3 to 10 percent of women of reproductive age. Umbilical endometriosis is rare, with an estimated incidence of 0.5–1.0% among all cases of endometriosis, and is usually secondary to prior laparoscopic surgery involving the umbilicus. In this report, we described a case of umbilical endometriosis treated with surgical resection and highlight the great importance of medical history compared to complementary diagnostic tests that can be sometimes inconclusive.

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An unusual case of asymptomatic spontaneous umbilical endometriosis treated with skin-sparing excision

Cited by 9 publications

References 8 publications

Umbilical endometriosis along with peritoneal endometriosis: a case report

Umbilical endometriosis along with peritoneal endometriosis: a case report

A Curious Case of Recurrent Umbilical Swelling: Case Report and Literature Review

Umbilical Nodule with Cyclical Bleeding: A Case Report and Literature Review of Atypical Endometriosis

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