Primary umbilical endometriosis: a rare entity

Dadhwal, Vatsla; Gupta, Bindiya; Dasgupta, Chandan; Shende, Unnati; Deka, Deepika

doi:10.1007/s00404-010-1809-2

Cited by 26 publications

(25 citation statements)

References 4 publications

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“…Two cases underwent repair of the underlying fascia and peritoneum. Our study is comparable to others [1,[4][5][6][7][8][9][10][11][12][13][14][15][16] that have show that total excision of the lesion is associated with no recurrence during follow-up. The mean follow-up period for our cases was 36 months.…”

Section: Discussionsupporting

confidence: 91%

Primary umbilical endometriosis: To scope or not to scope?

Chrysostomou

Branch

2017

S Afr J OG

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RESEARCHBackground. Primary umbilical endometriosis (PUE) is a rare condition affecting 0.5 -1% of all cases of extragenital endometriosis. The method of using routine laparoscopic inspection of the pelvis to exclude pelvic endometriosis has been applied extensively over the years. It has been demonstrated that even patients who have had no previous pelvic surgery or caesarean section, and have no symptoms of pelvic endometriosis or history of infertility, have presented with this condition. Objective. To investigate whether patients with PUE should always undergo a laparoscopy to exclude pelvic endometriosis. Methods. The study included women presenting with a history of painful umbilical nodules or bleeding from the umbilical nodule during or after menstruation in the absence of previous surgery either for gynecological disorders or caesarean section. The study began in January 2010 and ended in December 2016. All patients underwent umbilical biopsy confirming the presence of umbilical endometriosis before the diagnostic laparoscopy took place. Results. Fourteen patients with cutaneous (scar) and umbilical endometriosis attended the clinic during the study period. Of these, only six cases (42.8%) met the inclusion criteria of PUE clinically, and underwent diagnostic laparoscopy. Their mean age was 31.1 years (range 23 -48), and the mean parity was 1.1 (range 0 -3), with no history of previous pelvic surgery or caesarean section. Biopsies of the lesions confirmed the presence of endometrial tissue (gland and stroma) and haemorrhage. Diagnostic laparoscopy that took place immediately after the excision of umbilical endometriosis revealed no pelvic endometriosis. Conclusion. A laparoscopy to exclude pelvic endometriosis should not be undertaken in patients who present with PUE, as there is a potential risk of introducing endometriosis into the pelvic cavity. Additionally, there is a risk of exposing the patient to unnecessary intervention and possible complications associated with the procedure. Endometriosis is defined by the presence of functional endometrial glands and stroma outside the endometrial cavity. It is a common gynaecological condition that affects up to 22% of all women (8 -15% of women of reproductive age, and 6% of premenopausal women). [1,2] The aetiology of endometriosis remains unclear; it is considered to be a 'disease of theories' , with its pathophysiology only partially understood. Endometriosis usually occurs within the pelvic cavity. Common locations are the uterine wall, the fallopian tubes, the ovaries and the pelvic peritoneum. [3][4][5] Pelvic endometriosis presents clinically with a triad of symptoms: pain (chronic pelvic pain and dysmenorrhea), menorrhagia and infertility. S Afr J Obstet GynaecolExtrapelvic endometriosis affects up to 15% of patients, and can be found in almost all the organs (such as bowel, bladder, pericardium, pleura and even the brain). Extrapelvic endometriosis has varied signs and symptoms depending on the location. [6][7][8] Cutaneous and umbilical endometri...

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Section: Discussionsupporting

confidence: 91%

Primary umbilical endometriosis: To scope or not to scope?

Chrysostomou

Branch

2017

S Afr J OG

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“…These lesions usually present as pigmented (pale to dark brown, reddish, or blackish) or skin-colored papules or nodules 27,39,46,55,63 or as a subcutaneous mass. 59 Most often they are tender or painful with cyclic exacerbation of symptoms, change in color and size and sometimes with bleeding during menstrual cycles.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous Inguinal Scar Endosalpingiosis and Endometriosis

Stojanović

Brašanac

Stojičić

2013

The American Journal of Dermatopathology

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Endosalpingiosis and endometriosis represent ectopic growth of the fallopian tube epithelium and endometrial glands and stroma, respectively. Cutaneous endometriosis is a well-known entity, most often presented on scars after gynecological procedures. Cutaneous endosalpingiosis, however, appears to be a rare condition, with only 5 cases described in medical literature thus far. The authors report an unusual case of a woman with combined inguinal endosalpingiosis and endometriosis occurring in the cutaneous scar at the site of previously placed surgical drain, 10 years after myomectomy had been performed. The authors also provide an extensive review of medical literature in English regarding cutaneous endosalpingiosis and endometriosis and discuss their clinical, histopathological, and immunohistochemical features.

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“…Approximate 15% of UE patients have co-existence with pelvic endometriosis [14]. In this case, our diagnosis and treatment of UE could find symptomatic pelvic endometriosis.…”

Section: Discussionmentioning

confidence: 78%

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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Primary umbilical endometriosis: a rare entity

Abstract: Primary umbilical endometriosis accounts for 0.5-1% of extragenital endometriosis. Clinical presentation is typical and treatment involves complete excision. It is important to consider it in differential diagnosis of an umbilical nodule.

Cited by 26 publications

References 4 publications

Primary umbilical endometriosis: To scope or not to scope?

Primary umbilical endometriosis: To scope or not to scope?

Cutaneous Inguinal Scar Endosalpingiosis and Endometriosis

Umbilical Endometriosis without Pelvic Surgery

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