Umbilical endometriosis associated with umbilical hernia. Management of a rare occurrence

Chirurgia italiana · 2008 · vol. 59(6) , pp. 895–9 · PMID:18361000 · W2417956329
Case report OA: closed CC0 ⤵ 11 in-corpus citations
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This case report describes the successful surgical management of a rare umbilical endometriosis case associated with an umbilical hernia using wide resection, Mayo's repair, and a novel skin flap reconstruction technique.

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Abstract

We report a rare case of primitive umbilical endometriosis associated with umbilical hernia, which required wide umbilical resection and immediate reconstruction performed according to a recently described technique. A wide resection of the peritoneal sac was performed because of the possible presence of endometrial tissue inside. The hernia was repaired according to Mayo's technique. Umbilical reconstruction was performed using two semicircular skin flaps shaped into in an ellipse preoperatively drawn on the skin with a vertical orientation. The surgical approach described in this report allowed easy hernia repair and umbilical reconstruction. No prosthesis was used because of the small size of the hernia and lack of literature data on prosthesis use in endometriosis. The aesthetic result was considered satisfactory 6 months after the operation because of absence of hypertrophic scars and in view of the anatomical aspect of the new umbilicus. No recurrence was observed within this time frame.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Hernia, Umbilical Hernia, Umbilical Umbilicus Adult Adult Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Hernia, Umbilical Hernia, Umbilical Humans Humans Plastic Surgery Procedures Plastic Surgery Procedures Surgical Flaps

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

Cited by (10)

Source provenance

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