Umbilical endometriosis: A rare diagnosis in plastic and reconstructive surgery

A Daniel Malebranche, Malebranche AD, Bush K, Kevin Bush
The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique · 2010 · vol. 18(04) , pp. 147–8 · doi:10.4172/plastic-surgery.1000669 · PMID:22131844 · PMC3006115 · W1528664607
article OA: bronze CC0 ⤵ 18 in-corpus citations
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This report details a 35-year-old woman with an umbilical lesion diagnosed as endometriosis, emphasizing the need for broad differential diagnosis and prompt surgical intervention.

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Abstract

Umbilical endometriosis infrequently presents to the plastic surgeon. As such, the diagnosis is difficult to make because it is often overlooked. The current report presents a 35-year-old nulligravid woman with a six-month history of a firm, cyclically swelling lesion in her umbilical region. None of the signs characteristic of pelvic endometriosis except dysmenorrhea and a one-year history of infertility were present. Biopsy of the lesion revealed umbilical endometriosis (grade IV), and laparoscopy uncovered extensive disease. Monopolar cautery with coagulating current umbilical excision and reconstruction with a purse-string suture was used. The results underscore the importance of a broad differential diagnosis for an umbilical lesion in a middle-age woman. They also highlight the importance of early recognition and appropriate surgical intervention to minimize morbidity and mortality associated with umbilical endometriosis.

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Condition tags

endometriosisdysmenorrheainfertility

Citation neighborhood

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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License: CC0 · commercial use OK