Primary Umbilical Endometriosis: A Rare Entity

Moumita Roy
Journal of Bangladesh College of Physicians and Surgeons · 2023 · vol. 41(2) , pp. 173–176 · doi:10.3329/jbcps.v41i2.64508 · W4361267488
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⚙ AI-generated summary by claude@2026-07, 2026-07-09 ⓘ

This case report details a 46-year-old woman presenting with cyclical umbilical bleeding and pain, diagnosed with primary umbilical endometriosis via ultrasound findings of a hypoechoic lesion.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-09 · read from full text ⓘ

The paper describes primary umbilical endometriosis as a rare benign gynecologic condition in which ectopic endometrial tissue occurs in the umbilicus, typically presenting with a painful umbilical nodule and cyclic bleeding or discharge during menstruation. It reports a 46-year-old woman with low parity and no prior abdominal surgery who experienced cyclical per-umbilical bleeding and pain without a palpable umbilical nodule; despite this, ultrasonography detected a hypoechoic lesion in the lower umbilical region suggestive of endometrial deposition. Her symptoms improved with initial medical management but recurred after discontinuation, and resumed medical management led to symptom abatement. This paper is centrally about endometriosis — specifically primary umbilical endometriosis presenting as cyclic umbilical pain and bleeding with imaging evidence despite absent a palpable nodule.

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Abstract

Primary umbilical endometriosis is a rare benign gynaecological disorder caused by ectopic endometrial tissue in the umbilicus. The disease typically manifests as a painful umbilical nodule associated with cyclic bleeding or discharge during menstruation. Here, a 46-year-old woman with low parity and without previous history of abdominal surgery has been reported who presented with cyclical per-umbilical bleeding and pain in the umbilical region during menstruation without any palpable umbilical nodule. The patient responded well to initial medical management, but symptoms recurred on discontinuation of the medication. Though clinically, there was no palpable nodule, and ultrasonography revealed a hypoechoic lesion in the lower umbilical region suggestive of endometrial deposition. On resuming medical management, her symptoms abated. J Bangladesh Coll Phys Surg 2023; 41: 173-176
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Primary Umbilical Endometriosis: A Rare Entity Keywords: Umbilical EndometriosisAbstract Primary umbilical endometriosis is a rare benign gynaecological disorder caused by ectopic endometrial tissue in the umbilicus. The disease typically manifests as a painful umbilical nodule associated with cyclic bleeding or discharge during menstruation. Here, a 46-year-old woman with low parity and without previous history of abdominal surgery has been reported who presented with cyclical per-umbilical bleeding and pain in the umbilical region during menstruation without any palpable umbilical nodule. The patient responded well to initial medical management, but symptoms recurred on discontinuation of the medication. Though clinically, there was no palpable nodule, and ultrasonography revealed a hypoechoic lesion in the lower umbilical region suggestive of endometrial deposition. On resuming medical management, her symptoms abated. J Bangladesh Coll Phys Surg 2023; 41: 173-176 206 302 Downloads Published How to Cite Issue Section License Submission of a manuscript for publication implies the transfer of the copyright from the author to the publisher upon acceptance. Accepted manuscripts become the permanent property of the Journal of Bangladesh College of Physicians and Surgeons and may not be reproduced by any means in whole or in part without the written consent of the publisher. No part of the materials published in this journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Reprints of any article in the Journal will be available from the publisher.

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Condition tags

endometriosis

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