Endometriotic umbilical port site metastasis after laparoscopy

Barbaros, Umut; İyibozkurt, Ahmet Cem; Güllüoğlu, Mine; Barbaros, Merve; Erbil, Yeşim; Tunalı, Vahit; Mercan, Selçuk

doi:10.1016/j.ajog.2005.05.088

Cited by 15 publications

(14 citation statements)

References 6 publications

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“…The risk of malignant transformation from umbilical endometriosis is very low. There is a few reported cases of endometriosis with malignant transformation 22,23 . No treatment for a long time might lead to malignant transformation.…”

mentioning

confidence: 99%

Primary umbilical endometriosis: Menstruating from the umbilicus

Bostancı¹,

Avcı²,

Khurami³

2017

TURKDERM

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mentioning

confidence: 99%

Primary umbilical endometriosis: Menstruating from the umbilicus

Bostancı¹,

Avcı²,

Khurami³

2017

TURKDERM

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“…To avoid iatrogenic seeding to the umbilicus, a careful endometriotic excision and a laparoscopic trocar with use of a specimen bag are considered to be important [15]. There is a reported case of an endometriosis with malignant transformation in 73-year-old patient with a history of umbilical bleeding from the age of 30 until menopause [16]. No treatment for a long time might lead malignant transformed.…”

Section: Discussionmentioning

confidence: 99%

Umbilical Endometriosis without Pelvic Surgery

Niwa¹,

Mizuno²,

Yano³

et al. 2014

OJPathology

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We report a recently observed case of primary umbilical endometriosis without previous pelvic surgery. A 41-year-old Japanese woman complained of umbilical nodular tumor. Histopathology revealed endometriosis of an approximate 10 mm resected mass. The stromal cells in endometriosis were immunohistochemically positive for CD10. Two months later the first umbilical surgery, she underwent a left salpingo-oophorectomy and release of adhesion around the left adnexa under a laparoscope. She was treated with dienogest (2 mg/day) for six months after four injections of GnRH analogue for four months. After three years of the follow-up, there were no signs of local relapse and no clinical and ultrasonographic abnormalities due to endometriosis.

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“…16 In searches of the PubMed, Google Scholar, and Medline databases using the search terms ''endometriosis,'' ''scar endometriosis,'' ''abdominal wall endometriosis,'' and ''trocar,'' alone and in various combinations, we found 14 English-language articles on trocar site endometriosis. [5][6][7][8][9][10][11][12][13][14][15][16][17][18] Table 1 summarizes the data from the 10 articles (13 patients) for which we obtained the full text.…”

Section: Case Reportmentioning

confidence: 99%

“…21 A trocar port site endometrioma might develop from the peritoneal seeding of cells because of pneumoperitoneum or from direct contact of the excised lesion with the port tract. 5,8 The abdominal wall is an uncommon site of extrapelvic (external) endometriosis, where it usually develops in old surgical scars. Endometriosis has been reported in many types of surgical scars, including the scars resulting from endoscopy, cesarean section, tubal ligation, hysterectomy, inguinal hernia repair, laparotomy, and the needle tract of third trimester diagnostic amniocentesis.…”

Section: Case Reportmentioning

confidence: 99%

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Laparoscopic Trocar Port Site Endometriosis: A Case Report and Brief Literature Review

Emre

Akbulut

Yilmaz

et al. 2012

International Surgery

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Endometriosis is defined as the presence of ectopic endometrial tissue outside the lining of the uterine cavity. It occurs most commonly in pelvic sites such as ovaries, cul-de-sac, and fallopian tubes but also can be found associated with the lungs, bowel, ureter, brain, and abdominal wall. Abdominal wall endometriosis, also known as scar endometriosis, is extremely rare and mainly occurs at surgical scar sites. Although many cases of scar endometriosis have been reported after a cesarean section, some cases of scar endometriosis have been reported after an episiotomy, hysterectomy, appendectomy, and laparoscopic trocar port tracts. To our knowledge, 14 case reports related to trocar site endometriosis have been published in the English language literature to date. Herein, we present the case of a 20-year-old woman (who had been previously operated on for left ovarian endometrioma 1.5 years ago by laparoscopy) with the complaint of a painful mass at the periumbilical trocar site with cyclic pattern. Consequently, although rare, if a painful mass in the surgical scar, such as the trocar site, is found in women of reproductive age with a history of pelvic or obstetric surgery, the physician should consider endometriosis.

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Endometriotic umbilical port site metastasis after laparoscopy

Cited by 15 publications

References 6 publications

Primary umbilical endometriosis: Menstruating from the umbilicus

Primary umbilical endometriosis: Menstruating from the umbilicus

Umbilical Endometriosis without Pelvic Surgery

Laparoscopic Trocar Port Site Endometriosis: A Case Report and Brief Literature Review

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