Spontaneous Endometriosis Within a Primary Umbilical Hernia.

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This report details a rare case of spontaneous endometriosis occurring within an umbilical hernia, highlighting its rarity without prior surgery and the diagnostic importance of surgical specimen analysis.

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Abstract

Umbilical hernias are rather common in the General Surgery clinic; however, endometriosis of an umbilical hernia is rare. It is especially unusual to have endometriosis of an umbilical hernia spontaneously occur compared to occurring at a site of a prior surgery. We present a case of spontaneous endometriosis of an umbilical hernia without prior surgery to her umbilicus. She had not presented with the usual symptoms of endometriosis and it was not considered as a diagnosis prior to surgery. Umbilical endometriosis is rare but usually occurs after prior laparoscopic surgery. We believe this is the second reported case in the English literature and the first such case reported from North America of spontaneous endometriosis of an umbilical hernia. This case highlights the importance of a full review of systems and qualifying the type and occurrence of pain. Additionally, it is always important to analyze surgical specimens in pathology to avoid errors in diagnosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hernia, Umbilical Adult Endometriosis Endometriosis Endometriosis Female Hernia, Umbilical Hernia, Umbilical Hernia, Umbilical Humans Ultrasonography

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europepmc
last seen: 2026-08-28T06:11:01.063540+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:20:07.505861+00:00
License: CC0 · commercial use OK