Management options for primary umbilical endometriosis: a case report

Hilwah Nora, Ima Indirayani, Rusnaidi, Razi Maulana
In: Bali Medical Journal · 2022 · vol. 11(3) , pp. 1760–1763 · doi:10.15562/bmj.v11i3.3640 · W4311801986
article OA: diamond CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details the diagnosis and surgical excision of primary umbilical endometriosis, a rare cutaneous form confirmed by histopathology, with a favorable prognosis following complete removal.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This paper is a case report describing diagnosis and management options for primary umbilical endometriosis, a rare cutaneous form where the umbilicus develops painful, bleeding, and swelling nodules that worsen during menstruation. The authors report a single patient whose umbilical nodule with cyclical pain, swelling, and bleeding was surgically removed, and histopathology showed fibromyxoid tissue containing endometrial glands and surrounding stroma consistent with endometriosis. They state that definitive treatment is surgical excision with total removal of the umbilicus, with good prognosis and low recurrence when excision is complete, while the main caveat is that the evidence is limited to one reported case. This paper is centrally about endometriosis — it focuses on primary umbilical endometriosis diagnosis and management in a case report, with emphasis on surgical excision and histopathologic confirmation.

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Abstract

Background: The common location of Endometriosis is in genitalia organs, for instance, the ovary, uterus, fallopian tube, and sometimes even in the intestine, bladder, and in rare locations such as the navel, lungs, or brain. Umbilical Endometriosis is the most irregular form of Endometriosis and the most common cutaneous form of Endometriosis. Primary umbilical endometriosis diagnosis is often biased and delayed; the exact etiopathology remains unclear. Our case report discusses the diagnosis and management options for this rare disease. Case presentation: We reported a Primary Umbilical Endometriosis case, confirmed by a history of the nodule with pain, swelling, and bleeding at the umbilicus, which occurs during menstruation. The nodule was surgically removed, and histopathological analysis shows fibromycsoid tissue with multiple forms of subepithelial endometrial glands and surrounding stroma, confirmed as Endometriosis. Conclusion: The definitive treatment for umbilical Endometriosis is surgical excision with total removal of the umbilicus. The prognosis is good, and the recurrence rate is meager if complete excision is successfully performed.

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endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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