A 38-Year-Old G0 Woman with a 4 Cm Umbilical Mass

Jessica Kingston
In: Surgical Gynecology · 2021 · pp. 247–249 · doi:10.1017/9781009003674.082 · W3216443101
book-chapter OA: closed CC0
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Abstract

A 38-year-old nulligravid woman presents to the office with a painful umbilical mass present for one year. She describes near daily pain, worse just prior to and during menses. She also reports a one- to two-year history of dysmenorrhea and intermittent dyspareunia. Currently her pain is 3 out of 10, and during menses it increases to 6 out of 10. Menses occur at 24-day intervals with up to 7 days of bleeding, heavy on days 1 to 3. She is not currently sexually active and has no history of sexually transmitted infections. She denies any past medical or surgical history. Her medications include a combination oral contraceptive pill and ibuprofen as needed for pain. She has no known drug allergies. Family history is unremarkable.

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dysmenorrheadyspareunia

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