Concurrent Spontaneous Umbilical and Abdominal Wall Endometriosis Retracting the Surrounding Cutis

Abstract

Endometriosis consists of extra-uterine functional endometrial tissue. It is usually located in the pelvis, but it can also be found in other sites. Cutaneous endometriosis is a rare condition and it develops in the most of cases above gynecological or obstetric scars, although it may also appear spontaneously. We present a 39-year-old woman with umbilical and abdominal dermal nodules retracting the surrounding cutis as a clinically characteristic form of spontaneous cutaneous endometriosis. The patient had no signs and symptoms of pelvic endometriosis. The histopathological and immunohistochemical examinations confirmed the clinical diagnosis.

Spontaneous Abdominal Wall Endometriosis Diagnosed by Fine Needle Cytology: A Case Report

“…5 Cutaneous endometriosis could be suspected in women of reproductive age presenting with palpable abdominal bluish nodule, characterized by cyclic pain and swelling. 2 These findings are similar to our case study. Imaging studies are non-specific; thus, a biopsy is necessary to make a definitive diagnosis.…”

“…6 It may be mistaken clinically for lipoma, dermoid cyst, haemangioma, keloid, hernia, abscess, pyogenic or foreign body granuloma, embryological rests, irreducible hernia, inclusion cyst, metastatic tumors from intraabdominal malignancy and melanoma. 2 Local recurrence after adequate surgical excision is rare. Malignant transformation has been described.…”

“…1 Endometriosis generally involves ovary and pelvic peritoneum but it can also be found in extra gonadal sites like bowel, bladder, lung and rarely abdominal wall. 2 Though it can involve a variety of extra uterine locations but is less commonly found cutaneously/subcutaneously. 3 Most of the abdominal wall endometriosis occurs within surgical scars with only few spontaneous cases.…”