Symptomatic Primary Umbilical Endometriosis: A Case Report and A Review of the Literature

BACHAR Amine, JAMALEDDINE Khalid, MASTAR Hajar, Essaidi Zakaria, ELABBASSI Taoufik, LEFRIYEKH Mohamed Rachid
2024 · doi:10.5281/zenodo.13360171 · W6949185213
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This case report describes a patient with symptomatic primary umbilical endometriosis, also known as Villar’s nodule, who presented with cyclic pain and bleeding despite having no prior medical or surgical history. The diagnosis was confirmed through the surgical excision of a bluish umbilical nodule followed by pathological examination. The authors highlight that this extra-pelvic manifestation can occur spontaneously without previous abdominal surgeries, emphasizing the importance of considering it in differential diagnoses for such presentations. This paper is centrally about endometriosis — specifically the rare presentation of primary umbilical endometriosis in a patient without surgical history.

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Abstract

Endometriosis is a condition defined as extrauterine functional endometrial tissue, typically seen on pelvic peritoneal surfaces, leading to symptoms such as cyclic pain, dysmenorrhea, dyspareunia, and infertility. Extra-pelvic endometriosis is uncommon, especially the umbilical form. We present an interesting case of primary umbilical endometriosis (Villar’s nodule) in a patient with no medical or surgical history, who presented with umbilical pain and bleeding. She was found to have a bluish umbilical nodule, which was surgically removed and sent to the pathology to confirm the diagnosis. The report aims to highlight the diagnosis and management of umbilical endometriosis and the possibility of its occurrence even in patients without prior surgical history.
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Symptomatic Primary Umbilical Endometriosis: A Case Report and A Review of the Literature Authors/Creators - 1. Department of general surgery, IBN ROCHD University hospital of Casablanca, Casablanca, Morocco Description Endometriosis is a condition defined as extrauterine functional endometrial tissue, typically seen on pelvic peritoneal surfaces, leading to symptoms such as cyclic pain, dysmenorrhea, dyspareunia, and infertility. Extra-pelvic endometriosis is uncommon, especially the umbilical form. We present an interesting case of primary umbilical endometriosis (Villar’s nodule) in a patient with no medical or surgical history, who presented with umbilical pain and bleeding. She was found to have a bluish umbilical nodule, which was surgically removed and sent to the pathology to confirm the diagnosis. The report aims to highlight the diagnosis and management of umbilical endometriosis and the possibility of its occurrence even in patients without prior surgical history. Files 12.pdf Files (356.9 kB) | Name | Size | Download all | |---|---|---| | md5:bb9ebbb63614dc07bded29f525dad45d | 356.9 kB | Preview Download |

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endometriosisdysmenorrheadyspareuniainfertility

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