Recurrent umbilical endometriosis: a case report and review of the literature

Damir Danolić, Mario Puljiz, Darko Tomica, Ilija Alvir, Ivica Mamić
In: Libri Oncologici : Croatian Journal of Oncology · 2009 · vol. 37 , pp. 17 · W2752365999
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This case report describes a patient with recurrent umbilical endometriosis who presented with periodic bleeding and severe abdominal pain five months after initial surgical excision. The lesion appeared nineteen years following prior surgery for an endometriotic cyst on the right ovary, highlighting the potential for late recurrence in rare ectopic sites. Wide surgical excision was performed, and subsequent pathohistological analysis confirmed the diagnosis of endometriosis within the umbilical tissue. This paper is centrally about endometriosis — specifically focusing on the clinical presentation, diagnostic confirmation, and management of recurrent primary umbilical endometriosis.

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Abstract

Umbilical primary endometriosis is a rare localization of the functional endometrial tissue outside of uterine cavity and it represents 0.5-1% of ectopical endometriosis. We are reporting a case in which recurrence of umbilical endometriosis has occured 5 months after excision of umbilical endometriotic lesion and 19 years after the surgery of endometriotic cyst of the right ovary. It caused periodically bleeding from the umbilicus, associated with severe abdominal pain. Endometriosis was suspected and treated by wide surgical excision. Patohistological analysis confirmed the diagnosis of endometriosis.
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Ostalo Recurrent umbilical endometriosis: a case report and review of the literature Damir Danolić ; Department of Gynecologic Oncology, University Hospital for Tumors, Zagreb, Croatia Mario Puljiz ; Department of Gynecologic Oncology, University Hospital for Tumors, Zagreb, Croatia Darko Tomica ; Department of Gynecologic Oncology, University Hospital for Tumors, Zagreb, Croatia Ilija Alvir ; Department of Gynecologic Oncology, University Hospital for Tumors, Zagreb, Croatia Ivica Mamić ; Department of Gynecologic Oncology, University Hospital for Tumors, Zagreb, Croatia Sažetak Umbilical primary endometriosis is a rare localization of the functional endometrial tissue outside of uterine cavity and it represents 0.5-1% of ectopical endometriosis. We are reporting a case in which recurrence of umbilical endometriosis has occurred 5 months after excision of umbilical endometriotic lesion and 19 years after the surgery of endometriotic cyst of the right ovary. It caused periodical bleeding from the umbilicus, associated with severe abdominal pain. Endometriosis was suspected and treated by wide surgical excision. Pathohistological analysis confirmed the diagnosis of endometriosis. Ključne riječi umbilical endometriosis; differential diagnoses; surgical excision; patohistological analysis Hrčak ID: 278781 URI Datum izdavanja: 30.11.2009. Posjeta: 1.773 *

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