Umbilical endometriosis post-laparoscopic surgery: A case of subcutaneous seeding and neoumbilicus creation

Colton C Mowers, Teresa Veselack, Keith Hood, Sarfraz Ahmad
In: Indian Journal of Biochemistry and Biophysics · 2025 · doi:10.56042/ijbb.v62i9.19150 · W4413436565
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This case report details the successful surgical excision and umbilicoplasty for subcutaneous umbilical endometriosis following laparoscopic surgery, confirming it as a rare cause of periumbilical masses in patients with a surgical history.

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This case report describes a 37-year-old woman presenting with periumbilical pain and a mass following previous laparoscopic surgeries, where imaging was inconclusive but symptoms raised suspicion for endometriosis. The patient underwent surgical excision of the lesion, repair of an umbilical hernia, and umbilicoplasty to reconstruct the navel, resulting in complete symptom resolution and confirmed histopathological diagnosis of ectopic endometrial tissue. The authors note that umbilical endometriosis is a rare manifestation often linked to prior abdominal procedures and highlight the importance of considering this diagnosis in similar clinical presentations. This paper is centrally about endometriosis — specifically addressing umbilical endometriosis as a complication of subcutaneous seeding after laparoscopic surgery and its management through combined excision and cosmetic reconstruction.

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Abstract

Umbilical endometriosis is a rare manifestation of ectopic endometrial tissue, often linked to prior abdominal surgery. Its relevance in reconstructive surgery, particularly during umbilicoplasty, is underreported. A 37-year-old woman with prior laparoscopic procedures presented with periumbilical pain and a growing mass. Imaging was inconclusive, but symptoms suggested endometriosis. She underwent surgical excision, umbilical hernia repair, and umbilicoplasty. Histopathology confirmed endometriosis. Postoperatively, she recovered well with complete symptom resolution. Umbilical endometriosis should be considered in patients with prior abdominal surgery presenting with umbilical pain. Excision with umbilicoplasty offers both definitive treatment and cosmetic restoration.
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Umbilical endometriosis post-laparoscopic surgery: A case of subcutaneous seeding and neoumbilicus creation DOI: https://doi.org/10.56042/ijbb.v62i9.19150Keywords: Ectopic, Endometriosis, Neoumbilicus, Subcutaneous seeding, Umbilical endometriosisAbstract Umbilical endometriosis is a rare manifestation of ectopic endometrial tissue, often linked to prior abdominal surgery. Its relevance in reconstructive surgery, particularly during umbilicoplasty, is underreported. A 37-year-old woman with prior laparoscopic procedures presented with periumbilical pain and a growing mass. Imaging was inconclusive, but symptoms suggested endometriosis. She underwent surgical excision, umbilical hernia repair, and umbilicoplasty. Histopathology confirmed endometriosis. Postoperatively, she recovered well with complete symptom resolution. Umbilical endometriosis should be considered in patients with prior abdominal surgery presenting with umbilical pain. Excision with umbilicoplasty offers both definitive treatment and cosmetic restoration. Downloads Published Issue Section License Copyright (c) 2025 Indian Journal of Biochemistry and Biophysics (IJBB) This work is licensed under a Creative Commons Attribution 4.0 International License.

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