Primary umbilical endometriosis (Villars Nodule)- A rare case with aesthetic treatment
This case report describes a rare instance of primary umbilical endometriosis, also known as a Villars Nodule, and its aesthetic treatment.
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This paper reports a case of primary umbilical endometriosis (Villars nodule) in a 37-year-old nulliparous woman with a 2×2 cm umbilical blue-black nodule present for 4 years and cyclical bleeding, without dysmenorrhea and without prior abdominal surgeries; abdominal/pelvic ultrasound was normal. The authors performed wide excision with an approximately 1 cm margin and simultaneous umbilical reconstruction (umbilicoplasty) using a paraumbilical perforator-based skin flap, and histopathology confirmed cutaneous endometriosis; they explicitly note no pelvic endometriosis signs and restricted further pelvic evaluation to cases with symptoms suggesting it. Symptoms resolved by 2 months, and at 10 months follow-up there were no signs of recurrence with an aesthetically acceptable neoumbilicus. This paper is centrally about endometriosis — it is a case report focused on primary umbilical endometriosis (Villars nodule) and surgical excision with neoumbilical reconstruction.
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References (12)
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