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

Glória Calagna, Gloria Calagna, A Perino, Antonino Perino, Daniela Chianetta, Chianetta D, Daniele Vinti, Triolo MM, Maria Margherita Triolo, Carlo Rimi, Rimi C, C Rimi, Gaspare Cucinella, Antonino Agrusa, Agrusa A
Taiwanese journal of obstetrics & gynecology · 2015 · vol. 54(3) , pp. 306–312 · doi:10.1016/j.tjog.2014.03.011 · PMID:26166347 · W1649592840
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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 Adult Endometriosis Endometriosis Endometriosis Female Female Humans Humans Rare Diseases Rare Diseases Rare Diseases Rare Diseases Rare Diseases Umbilicus Umbilicus

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (83)

Cited by (27)

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