Concurrent Umbilical Endometriosis and Umbilical Hernia: A Rare Case

Baraka S Mshango, Mshango BS, Alex J Makalla, Makalla AJ, Asafu Munema, Munema AM, Asafu M Munema
Cureus · 2026 · vol. 18(7) , pp. e112211 · doi:10.7759/cureus.112211 · PMID:42565079 · PMC13446378 · W7167624778
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-17 ⓘ

This case report describes a 34-year-old woman with concurrent umbilical endometriosis and umbilical hernia, highlighting the diagnostic challenges posed by their overlapping clinical features.

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The provided text consists entirely of advertising copy, publisher disclaimers, and sponsorship information for the Cureus Journal of Medical Science rather than a scientific manuscript. It mentions sponsored content regarding cranial radiosurgery and motion management technologies but contains no clinical data, patient populations, or research findings. Consequently, there is no substantive medical content to summarize regarding disease mechanisms or treatment outcomes. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Endometriosis of the umbilicus is uncommon. Presenting symptoms are nonspecific and may mimic other diseases of the umbilicus, such as Sister Mary nodule, granuloma, melanoma, and umbilical hernia. Umbilical endometriosis and umbilical hernia can rarely occur together, and their clinical features can easily be confused. We present the case of a 34-year-old woman with a history of two cesarean deliveries attended at our center who complained of a reducible umbilical swelling of gradual onset, more marked during coughing and straining. Thereafter, she noticed another small dark bluish swelling developing on the umbilicus, which increased progressively over time. Near and during menstruation, the swelling became larger and more painful, and was later accompanied by cyclic umbilical bleeding. Physical examination revealed a darkish, firm umbilical swelling, which was non-tender and measured about 3 cm × 2 cm, as well as an abdominal wall defect measuring about 3 cm in the umbilical area. She underwent excision of the umbilical mass followed by surgical repair. The excised specimen was sent for histopathology, which confirmed an endometriosis of the umbilicus. Umbilical swelling has several differential diagnoses, which can be either primary or metastatic disease of the umbilicus. Concurrent umbilical endometriosis and umbilical hernia are rare, and their clinical features can easily be confused, causing difficulties in making an accurate diagnosis. Cyclic umbilical swelling, pain, and umbilical bleeding should raise the suspicion of umbilical endometriosis. This case report emphasizes the importance of thorough history taking, physical examination, and histopathological examination for all women presenting with ambiguous umbilical swelling.
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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (11)

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