Chronic Umbilical Discharge : An unusual presentation of endometriosis

Sadaf Jafferbhoy, Panas Symeonides, Melanie Levy, Muhammad H Shiwani
2013 · doi:10.18295/2075-0528.1443 · W6907014525
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Surgical excision confirmed endometriosis as the cause of chronic umbilical discharge in a diabetic woman, demonstrating that this procedure provides definitive diagnosis and curative treatment when imaging is inconclusive.

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This case report describes a 35-year-old woman with type 2 diabetes who presented with chronic umbilical discharge that did not respond to antibiotic therapy. Initial imaging studies, including ultrasound and MRI, failed to identify any obvious abnormalities in the affected area. The patient ultimately underwent surgical excision of the umbilicus, which allowed for histological confirmation of endometriosis as the underlying cause. This outcome highlights that surgical removal provides both definitive diagnosis and curative treatment for isolated cases of this condition. Relevance to endometriosis: Centrally about the condition — specifically describing an unusual presentation of umbilical endometriosis mimicking infection.

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Abstract

Umbilical endometriosis is an important differential diagnosis of any umbilical lesion. A 35-yearold type 2 diabetic woman presented with intermittent umbilical discharge which failed to respond to various antibiotics. An ultrasound scan and MRI scan failed to show any obvious abnormality. The umbilicus was excised and histology confirmed endometriosis. Surgical excision provides a definitive diagnosis and curative treatment for isolated endometriosis.
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Abstract Umbilical endometriosis is an important differential diagnosis of any umbilical lesion. A 35-yearold type 2 diabetic woman presented with intermittent umbilical discharge which failed to respond to various antibiotics. An ultrasound scan and MRI scan failed to show any obvious abnormality. The umbilicus was excised and histology confirmed endometriosis. Surgical excision provides a definitive diagnosis and curative treatment for isolated endometriosis. Article Type Case Report Publication Date 2-27-2013 First Page 143 Last Page 146 Creative Commons License This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License. Recommended Citation Jafferbhoy, Sadaf; Symeonides, Panas; Shiwani, Melanie; and Muhammad H. (2013) "Chronic Umbilical Discharge : An unusual presentation of endometriosis," Sultan Qaboos University Medical Journal: Vol. 13: 143-146. DOI: https://doi.org/10.18295/2075-0528.1443

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endometriosis

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