Umbilical Nodule and Hemorrhagic Ascites of Endometriosis Origin: A Clinical Case Report

Modia O yandjo A, Bosenge Nguma, Kadima Ntokamunda J
In: Gynecology & Obstetrics Case report · 2018 · vol. 04(01) · doi:10.21767/2471-8165.1000062 · W2802731197
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This case report describes a rare instance of primary umbilical endometriosis associated with hemorrhagic ascites and discusses diagnostic challenges and potential pathogenic mechanisms.

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This case report describes a patient presenting with primary umbilical endometriosis accompanied by hemorrhagic ascites, a rare clinical manifestation of the disease. The authors discuss the diagnostic challenges inherent in distinguishing this condition from other soft tissue tumors due to its atypical presentation and lack of common pelvic symptoms. They explore potential pathogenic hypotheses for the association between the umbilical nodule and the presence of free fluid in the abdomen. This paper is centrally about endometriosis — specifically focusing on an unusual extra-pelvic presentation involving the umbilicus and associated hemorrhagic ascites.

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Abstract

Endometriosis affects 5%-10% of women in reproductive age and is usually localized in the pelvic and abdominal organs resulting in chronic pain, deep dyspareunia and infertility. Exceptionally, superficial endometriosis can lead to hemorrhagic abdominal effusion. Umbilical localization is considered a rare presentation, especially in its primary form. As there are many atypical cases, the differential diagnosis between endometriosis and other soft tissue tumors can be quite difficult. We report a historical case associating primary umbilical endometriosis and hemorrhagic ascites and discuss the probable pathogenic hypotheses and difficulties related to the diagnosis.
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Modia O yandjo A, Bosenge Nguma JD and Kadima Ntokamunda J DOI10.21767/2471-8165.1000062 Endometriosis affects 5%-10% of women in reproductive age and is usually localized in the pelvic and abdominal organs resulting in chronic pain, deep dyspareunia and infertility. Exceptionally, superficial endometriosis can lead to hemorrhagic abdominal effusion. Umbilical localization is considered a rare presentation, especially in its primary form. As there are many atypical cases, the differential diagnosis between endometriosis and other soft tissue tumors can be quite difficult. We report a historical case associating primary umbilical endometriosis and hemorrhagic ascites and discuss the probable pathogenic hypotheses and difficulties related to the diagnosis. Select your language of interest to view the total content in your interested language - Aquaculture & Veterinary Science - Chemistry & Chemical Sciences - Clinical Sciences - Engineering - General Science - Genetics & Molecular Biology - Health Care & Nursing - Immunology & Microbiology - Materials Science - Mathematics & Physics - Medical Sciences - Neurology & Psychiatry - Oncology & Cancer Science - Pharmaceutical Sciences

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Condition tags

endometriosisdyspareuniainfertility

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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.

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