Management of Isolated Umbilical Endometriosis in a Resource Limited Country: Two Cases and Review of the Literature

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This paper presents two cases of isolated umbilical endometriosis managed in a resource-limited country and includes a review of existing literature.

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The paper reports two cases of isolated umbilical endometriosis managed in a resource-limited setting in Abidjan, with additional discussion and a literature review. The authors describe the clinical presentation and investigative/management approach as performed at their teaching hospital, and they state that ethics approval was obtained and informed consent was collected for publication images. A key limitation is that the evidence base is limited by the small number of cases and the reliance on a literature review rather than comparative data. This paper is centrally about endometriosis — specifically isolated umbilical endometriosis and its management in a low-resource country.

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References

Ince C, Wagner A, Rajakumar C, Canada G. Endométriose de la paroi abdominale. J Obstet Gynaecol Can. 2018;40(7):860. Borghese B, Santulli P, Marcellin L, Chapron C. Definition, description, clinicopathological features, pathogenesis and natural history of endometriosis: CNGOF-HAS Endometriosis Guidelines. Gynecol Obstet Fertil Senol. 2018;46(3):156–67. https://doi.org/10.1016/j.gofs.2018.02.017. (French). Audebert A, Petousis S, Margioula-Siarkou C, Ravanos K, Prapas N, Prapas Y. Distribution anatomique de l’endométriose : une réévaluation basée sur une série de 1101 patientes. Eur J Obstet Gynécol Reprod Biol. 2018;230:36–40. https://doi.org/10.1016/j.ejogrb.2018.09.001. Makena D, Obura T, Mutiso S, Oindi F. Umbilical endometriosis: a case series. J Med Case Rep. 2020;14(1):142. https://doi.org/10.1186/s13256-020-02492-9. Rolla E. Endometriosis: advances and controversies in classification, pathogenesis, diagnosis, and treatment. F1000Research. 2019. https://doi.org/10.12688/f1000research.14817.1.

Acknowledgements

The authors would like to thank their collaborators who gave their time to make this research project possible. Funding This manuscript was prepared by the authors without partner funding. Author information Authors and Affiliations Contributions Dehi Boston Mian, Vedi Loue and Alexis Yao have contributed to report the cases. Dehi Boston Mian, Vedi Loue, Alexis Yao, Koffi Nguessan and Serge Boni have participated to the manuscript data analyses and discussion. All authors read and approved the final version of manuscript. Corresponding author Ethics declarations Conflict of interest The authors declare no conflict of interest with this publication. Ethics approval was obtained from the teaching hospital of Abidjan University. Informed consent Written and signed consent have been given by both patients for images used for scientific publication. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. MIAN DEHI BOSTON is an Associate Professor of GO of CAMES and Specialist in GO ultrasound, medically assisted reproduction Dehi Boston Mian is a Professor; Vedi Loue is a Doctor; Alexis Yao is a Doctor; N’guessan Koffi is a Professor, Boni Serge is a Professor. Rights and permissions About this article Cite this article Mian, D.B., Loue, V., Yao, A. et al. Management of Isolated Umbilical Endometriosis in a Resource Limited Country: Two Cases and Review of the Literature. J Obstet Gynecol India 73, 451–454 (2023). https://doi.org/10.1007/s13224-023-01742-2 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s13224-023-01742-2

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