Primary umbilical endometrioma: Analyzing the pathogenesis of endometriosis from an unusual localization

review OA: diamond CC0 ⤵ 26 in-corpus citations
AI-generated summary by claude@2026-06, 2026-06-08

This case report describes a 33-year-old woman with cyclic umbilical bleeding due to primary umbilical endometriosis, suggesting it may be an independent entity requiring consideration in umbilical masses.

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Abstract

OBJECTIVE: This report presents a rare case of symptomatic primary umbilical endometriosis and reviews the literature on the topic with the aim to clarify some questions on the origin of endometriosis. CASE REPORT: A 33-year-old woman with cyclic umbilical bleeding was found to have umbilical endometriosis. She had no history of pelvic or abdominal surgery. There was no past history of endometriosis or endometriosis-associated symptoms. An omphalectomy was performed after explorative laparoscopy to carefully inspect the abdominopelvic cavity and assess any coexisting pelvic endometriotic lesions. Histological examination confirmed the diagnosis of umbilical endometriosis. CONCLUSION: Umbilical endometriosis is a rare but under-recognized phenomenon. Primary lesions are difficult to recognize, but probably represent an independent nosological entity. The possibility of endometriosis must be considered during the evaluation of an umbilical mass despite the absence of previous surgery. Complete excision and successive histology are highly recommended.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Endometriosis Umbilicus Adult Endometriosis Endometriosis Female Humans Rare Diseases Rare Diseases Rare Diseases Rare Diseases Umbilicus

Citation neighborhood

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References (83)

Cited by (26)

Source provenance

europepmc
last seen: 2026-07-01T06:12:12.862213+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:17:46.044120+00:00
License: CC0 · commercial use OK