Endometriosis of the umbilical region in combination with multiple uterine fibroids and external genital endometriosis. Clinical observation

M. I. Vasilchenko, Olesya V. Kaykova, И.А. Лапина, Vladislav V. Taranov
In: Hirurg (Surgeon) · 2025 · pp. 7–14 · doi:10.33920/med-15-2505-01 · W4416109669
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This clinical observation details the surgical treatment of a 36-year-old patient with umbilical endometriosis, multiple uterine fibroids, and external genital endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

The paper is a clinical observation/discussion about endometriosis localized to the umbilical region, particularly cases where it co-occurs with multiple uterine fibroids and external genital endometriosis. It describes the rarity of umbilical/extragenital endometriosis, outlines proposed pathogenetic mechanisms (including post-surgical implantation and primary “Villar’s nodules”), and emphasizes differential diagnosis with conditions such as hernia, melanoma, metastasis, granulomas, and keloids. It also summarizes diagnostic approaches (history, physical and gynecologic examination, ultrasound or MRI to assess spread and invasion) and notes that surgical excision is presented as the most effective treatment, with hormonal therapy as an alternative in selected situations. This paper is centrally about endometriosis — it focuses on umbilical-region endometriosis in combination with external genital endometriosis and multiple uterine fibroids.

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Abstract

Umbilical endometriosis is a proliferation of endometrioid cells of extragenital localization with a frequency of up to 1–2 % and an unspecified etiopathogenetic mechanism of development. A clinical observation demonstrates a case of surgical treatment of endometriosis of the umbilical region, multiple uterine fibroids in a 36‑year-old patient with a burdened history of endometriosis. Preoperative examination in the volume of ultrasound examination of the pelvic organs, soft tissues of the umbilical region, as well as magnetic resonance imaging showed the presence of a heterogeneous array of infiltrative tissues in the structure of the subcutaneous tissue of the umbilical region, suspicious of the endometrioid character. The patient underwent excision of the endometrioid infiltrate of the umbilical region with reconstruction of the umbilical ring, hernial defect of the anterior abdominal wall in combination with laparoscopic myomectomy, and destruction of foci of external genital endometriosis.

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Condition tags

endometriosis

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