A rare case of primary umbilical endometriosis in a nulliparous female confirmed on imaging and histopathology: Case report

Jaswinder Kaur Mohi, Jasvir Singh, Junior Resident, Radiology, GMC Patiala, Punjab, India, Amarjit Kaur, Samrin Haq, Navkiran Kaur
In: International Journal of Medical Research and Review · 2016 · vol. 4(8) , pp. 1415–1419 · doi:10.17511/ijmrr.2016.i08.21 · W2615613182
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This case report details a 40-year-old nulliparous female with primary umbilical endometriosis, presenting with abdominal pain and cyclical umbilical bleeding, confirmed by imaging and histopathology.

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This case report describes a 40-year-old nulliparous woman presenting with abdominal pain, vaginal bleeding, and cyclical umbilical discharge. The diagnosis of primary umbilical endometriosis was established through imaging studies and confirmed by histopathological examination following surgical intervention. The authors highlight that extrapelvic endometriosis is rare, particularly in patients without prior surgical history or scars. This paper is centrally about endometriosis — specifically the unusual presentation of primary umbilical endometriosis in a patient without previous surgeries.

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Abstract

Endometriosis is a common gynaecological condition, the pelvis being the most common site. Extrapelvic sites including intestinal tract, urinary tract, omentum, thorax, surgical scars and umbilicus are less common sites and are difficult to diagnose. Majority of extrapelvic cases occur at surgical scar sites. Occurrence of umbilical endometriosis in a patient without any previous surgical history is a very rare condition. So, we are going to report the case of a primary umbilical endometriosis in a 40 years old nulliparous female presented with complaints of pain abdomen associated with bleeding per vaginum and cyclical bleeding from umbilical region since 2 months.This paper summarises the topic of umbilical endometriosis and discusses the radiological and clinical implication of this unusual condition.
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A rare case of primary umbilical endometriosis in a nulliparous female confirmed on imaging and histopathology: Case report DOI: https://doi.org/10.17511/ijmrr.2016.i08.21Keywords: Cyclical pain, Multiple uterine fibroids, Endometriosis, Fine needle aspirationAbstract Endometriosis is a common gynaecological condition, the pelvis being the most common site. Extrapelvic sites including intestinal tract, urinary tract, omentum, thorax, surgical scars and umbilicus are less common sites and are difficult to diagnose. Majority of extrapelvic cases occur at surgical scar sites. Occurrence of umbilical endometriosis in a patient without any previous surgical history is a very rare condition. So, we are going to report the case of a primary umbilical endometriosis in a 40 years old nulliparous female presented with complaints of pain abdomen associated with bleeding per vaginum and cyclical bleeding from umbilical region since 2 months.This paper summarises the topic of umbilical endometriosis and discusses the radiological and clinical implication of this unusual condition. Downloads References 2. Agarwal A, Fong YF. Cutaneous endometriosis. Singapore Med J. 2008 Sep;49(9):704-9. 3. Kyamidis K., Lora V., Kanitakis J. Spontaneous cutaneous umbilical endometriosis: report of a new case with immunohistochemical study and literature review. Dermatol Online J. 2011;17:5. 4. Teh WT, Vollenhoven B, Harris PI. Umbilical endometriosis, a pathology that a gynecologist may encounter when inserting the Veres needle. Fertil Steril. 2006 Dec;86(6):1764.e1-2. Epub 2006 Oct 30. 5. Molderez CM, Wouters KB, Bergmans GB, Michiels GK. Umbilical discharge: a review of 22 cases. Acta Chir Belg. 1995 May-Jun;95(3):166-9. 6. Fernández-Aceñero MJ, Córdova S. Cutaneous endometriosis: review of 15 cases diagnosed at a single institution. Arch Gynecol Obstet. 2011 May;283(5):1041-4. doi: 10.1007/s00404-010-1484-3. Epub 2010 Apr 27. 7. Zwas FR, Lyon DT. Endometriosis. An important condition in clinical gastroenterology. Dig Dis Sci. 1991 Mar;36(3):353-64. 8. Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am. 1997 Jun;24(2):235-58. 9. Frischknecht F, Raio L, Fleischmann A, Dreher E, Lüscher KP, Mueller MD. Umbilical endometriosis. Surg Endosc. 2004 Feb;18(2):347. 10. Fernández-Aceñero MJ, Córdova S. Cutaneous endometriosis: review of 15 cases diagnosed at a single institution. Arch Gynecol Obstet. 2011 May;283(5):1041-4. doi: 10.1007/s00404-010-1484-3. Epub 2010 Apr 27.

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