Monthly bleeding umbilical endometriosis: Case Report

In: Ethiopian Journal of Reproductive Health · 2024 · vol. 16(3) · doi:10.69614/ejrh.v16i3.711 · W4401420596
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AI-generated summary by claude@2026-06, 2026-06-12

This case report details a 20-year-old patient with a monthly bleeding, painful umbilical swelling diagnosed as primary umbilical endometriosis confirmed by histology.

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AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text

This paper is a case report of primary umbilical endometriosis in a 20-year-old patient with a monthly pattern of bleeding and pain in an umbilical swelling over four months, with no prior pregnancy and no history of pelvic surgery. The authors report that the umbilical lesion was excised and the umbilicus reconstructed, and that diagnosis was confirmed by histology of the removed tissue. The main limitation is that the evidence is a single case, with no broader analysis of incidence, mechanisms, or outcomes. This paper is centrally about endometriosis — specifically primary umbilical endometriosis presenting with cyclic bleeding.

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Abstract

Background Primary umbilical endometriosis is a rare disease in which ectopic endometrial tissue is found in the umbilicus. Case presentation A 20-year-old patient presented with a monthly bleeding and painful umbilical swelling for the last 04 months. She was not pregnant before and had no pelvic surgery. The umbilical lesion was excised and the umbilicus was reconstructed. The diagnosis was confirmed histology of the tissue excised. Conclusion Umbilical endometriosis is a very rare disease but should be considered in the differential diagnosis of umbilical lesions with bleeding in reproductive age. Keyword: Endometriosis, Umbilicus
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Background

Primary umbilical endometriosis is a rare disease in which ectopic endometrial tissue is found in the umbilicus. Case presentation A 20-year-old patient presented with a monthly bleeding and painful umbilical swelling for the last 04 months. She was not pregnant before and had no pelvic surgery. The umbilical lesion was excised and the umbilicus was reconstructed. The diagnosis was confirmed histology of the tissue excised.

Conclusion

Umbilical endometriosis is a very rare disease but should be considered in the differential diagnosis of umbilical lesions with bleeding in reproductive age.

Keyword

Endometriosis, Umbilicus

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Condition tags

endometriosis

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References (32)

Source provenance

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last seen: 2026-06-10T17:14:06.276822+00:00
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