Primary Umbilical Endometriosis: A case report and management with review of literature

Dr Aashia Rumman , Dr Vaishali , Dr Anjali Dabral
2026 · doi:10.5281/zenodo.18871783 · W7133918458
article OA: green CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-15 · read from full text ⓘ

This case report describes a 35-year-old woman presenting with cyclical umbilical bleeding and pain, diagnosed as primary umbilical endometriosis despite the absence of pelvic disease. Imaging revealed a subcutaneous lesion, which was successfully treated via wide excision and umbilical reconstruction, resulting in no recurrence after six months. The authors emphasize that clinical diagnosis can be challenging and recommend excluding malignancies through MRI and fine-needle aspiration before proceeding with surgical intervention. This paper is centrally about endometriosis — specifically a rare presentation known as primary umbilical endometriosis occurring without associated pelvic involvement.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Introduction-we report a case of primary umbilical endometriosis(UE) in the absence of any pelvic endometriosis with the aim to discuss the management of this rare entity. Case presentation- A 35 years old female P1L1 who conceived after ovulation induction and delivered vaginally. She presented with complaints of cyclical bleeding from umbilicus and pain in the umbilical region during menstruation. Ultrasound and MRI showed a we’ll defined lesion of 1.5x2 cm in the subcutaneous plane deep in umbilical region communicating with skin. Excision of umbilicus with deep seated endometriotic tissue followed laparotomy and umbilical reconstruction was performed. Histopathology examination confirmed the diagnosis of umbilical endometriosis. Neither signs nor symptoms have recurred after 6 months of follow up. Discussion- UE can occur in the absence any previous surgical scar or typical signs symptoms of pelvic endometriosis in the women of reproductive age. In such scenario clinical diagnosis may be difficult and other differential diagnosis needs to be excluded specifically malignant cause, CEMRI abdomen and FNAC of lesion can be of great importance. Though the main stay of treatment is wide excision of the lesion with or without removal of the umbilicus followed by laparotomy/laparoscopic exploration of peritoneal cavity. Surgical radicalisation depends on size, extend, duration of symptoms and possibility of pelvic or peritoneal endometriosis.
Full text 1,743 characters · extracted from oa-doi-fallback · click to expand
Primary Umbilical Endometriosis: A case report and management with review of literature Authors/Creators Description | Introduction-we report a case of primary umbilical endometriosis(UE) in the absence of any pelvic endometriosis with the aim to discuss the management of this rare entity. Case presentation- A 35 years old female P1L1 who conceived after ovulation induction and delivered vaginally. She presented with complaints of cyclical bleeding from umbilicus and pain in the umbilical region during menstruation. Ultrasound and MRI showed a we’ll defined lesion of 1.5x2 cm in the subcutaneous plane deep in umbilical region communicating with skin. Excision of umbilicus with deep seated endometriotic tissue followed laparotomy and umbilical reconstruction was performed. Histopathology examination confirmed the diagnosis of umbilical endometriosis. Neither signs nor symptoms have recurred after 6 months of follow up. Discussion- UE can occur in the absence any previous surgical scar or typical signs symptoms of pelvic endometriosis in the women of reproductive age. In such scenario clinical diagnosis may be difficult and other differential diagnosis needs to be excluded specifically malignant cause, CEMRI abdomen and FNAC of lesion can be of great importance. Though the main stay of treatment is wide excision of the lesion with or without removal of the umbilicus followed by laparotomy/laparoscopic exploration of peritoneal cavity. Surgical radicalisation depends on size, extend, duration of symptoms and possibility of pelvic or peritoneal endometriosis. | Files v7-i1-24282430dl.pdf Files (621.3 kB) | Name | Size | Download all | |---|---|---| | md5:465045c4227eba5ed2ea1fa20be6d684 | 621.3 kB | Preview Download |

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. This is a recent paper (2026) — citers typically take a year or two to land, and the OpenAlex reference graph may still be filling in.

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK