Umbilical endometriosis following concurrent abdominal myomectomy and umbilical herniorrhaphy during mentruation: a case study

Abiodun S. Adeniran, Adegboyega A Fawole, Tunde S Afolayan, Henry G Ano-edward
In: Tropical Journal of Obstetrics and Gynaecology · 2013 · vol. 30(1) · W2260023436
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A case report describes umbilical endometriosis developing after concurrent abdominal myomectomy and herniorrhaphy during menstruation, highlighting the risk of extra-pelvic endometriosis from such surgical timing.

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Abstract

Umbilical endometriosis is a rare form of extra pelvic endometriosis and certain risk factors have been known to increase its occurrence. We present a woman, who presented with an umbilical mass which bleeds cyclically. The mass developed following abdominal myomectomy and concurrent repair of umbilical hernia during menstruation. She had excision biopsy of the umbilical mass and umbilical reconstruction; histological examination confirmed endometriosis. The highpoints of this presentation are to emphasize the need to avoid abdominal myomectomy during menstruation and discourage concurrent surgical procedures because these increase the risk of endometriosis after the procedure. Keywords: Umbilical endometriosis, Myomectomy, Herniorraphy Trop J Obstet Gynaecol , 30 (1), April 2013

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