Menstruating primary umbilicus cutaneous endometriosis: A case report and review of literature

Ade-Ojo Idowu Pius, Idowu Pius Ade-Ojo, Ipinnimo Oluwadare Martins, Oluwadare Martins Ipinnimo
In: Clinical Journal of Obstetrics and Gynecology · 2021 · vol. 4(2) , pp. 069–071 · doi:10.29328/journal.cjog.1001090 · W3163218653
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This report describes a 38-year-old nulliparous woman with infertility, dysmenorrhea, and monthly umbilical bleeding from a nodule, who was diagnosed with and successfully treated for primary umbilical cutaneous endometriosis.

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This paper reports a case of primary umbilical cutaneous endometriosis in a 38-year-old nulliparous woman with a seven-year history of infertility, severe dysmenorrhea, and a one-year history of monthly bleeding from a painful, multilobate cutaneous nodule at the umbilicus. Despite infertility-associated workup with normal hormonal profile and hysterosalpingogram, diagnosis was confirmed histologically after surgical excision, which had a good outcome. The paper also provides a review of related literature on cutaneous and atypical endometriosis presentations, while acknowledging diagnostic difficulty when patients are asymptomatic. This paper is centrally about endometriosis — it focuses on primary umbilical cutaneous endometriosis presenting with catamenial bleeding and confirmed histologically.

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Abstract

Primary umbilical cutaneous endometriosis is a rare umbilical endometrioma that affects women who are within the reproductive age group. It may be associated with infertility and severe dysmenorrhea and can be difficult to diagnosed in an asymptomatic patient. We report a case of a 38-year-old nulliparous with seven years history of infertility and severe dysmenorrhea. Her hormonal profile assay and hysterosalpingogram results were normal while her husband semen analysis was also within normal range. She complained of monthly bleeding from a painful rubbery multilobate cutaneous nodule on the umbilicus of one year duration. She was diagnosed of cutaneous endometriosis. The diagnosis was confirmed histologically and she had surgical excision with good outcome.
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Menstruating primary umbilicus cutaneous endometriosis: A case report and review of literature Main Article Content Abstract Primary umbilical cutaneous endometriosis is a rare umbilical endometrioma that affects women who are within the reproductive age group. It may be associated with infertility and severe dysmenorrhea and can be difficult to diagnosed in an asymptomatic patient. We report a case of a 38-year-old nulliparous with seven years history of infertility and severe dysmenorrhea. Her hormonal profile assay and hysterosalpingogram results were normal while her husband semen analysis was also within normal range. She complained of monthly bleeding from a painful rubbery multilobate cutaneous nodule on the umbilicus of one year duration. She was diagnosed of cutaneous endometriosis. The diagnosis was confirmed histologically and she had surgical excision with good outcome. Article Details Copyright (c) 2021 Ade-Ojo IP, et al. This work is licensed under a Creative Commons Attribution 4.0 International License. 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. https://pubmed.ncbi.nlm.nih.gov/21810390/ Buescher E, Nezhat C. Endometriosis: Diagnosis and Treatment: From Fingernails to the Robot. Cureus. 2012. Ichida M, Gomi A, Hiranouchi N, Fujimoto K, Suzuki K, et al. A case of cerebral endometriosis causing catamenial epilepsy. Neurology. 1993; 43: 2708-2709. PubMed: https://pubmed.ncbi.nlm.nih.gov/8255485/ Giangarra C, Gallo G, Newman R, Dorfman H. Endometriosis in the biceps femoris. A case report and review of the literature. J Bone Joint Surg. 1987; 69: 290-292. PubMed: https://pubmed.ncbi.nlm.nih.gov/3805095/ Mehdi K, Kumar A. Spontaneous cutaneous endometriosis in Mons Pubis: review of literature. Med J Armed Forces India. 2021. Marsh E, Laufer M. Endometriosis in Premenarcheal Girls Who Do Not Have an Associated Obstructive Anomaly. Fertil Steril. 2005; 83: 758-760. Manero M, Royo P, Olartecoechea B, Alcázar J. Endometriosis in a postmenopausal woman without previous hormonal therapy: a case report. J Med Case Rep. 2009; 3. Fernández-Aceñero M, Córdova S. Cutaneous endometriosis: review of 15 cases diagnosed at a single institution. Arch Gynecol Obstet. 2010; 283: 1041-1044. PubMed: https://pubmed.ncbi.nlm.nih.gov/20422419/ Daisley jr. H, Trim S, Daisley A. Caesarean section scar endometriosis: A case report and review of the literature with special emphasis on malignant transformation. Our Dermatology Online. 2018; 9: 176-179. Mihailovici A, Rottenstreich M, Kovel S, Wassermann I, Smorgick N, et al. Endometriosis-associated malignant transformation in abdominal surgical scar: A PRISMA-compliant systematic review. Medicine (Baltimore). 2017; 96: e9136. PubMed: https://pubmed.ncbi.nlm.nih.gov/29245355/

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endometriosisendometriomadysmenorrheainfertility

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