Secondary Cutaneous Endometriosis of the Umbilicus in Tanzania: A Case Report

Isaac Hamis Makanda, Beata Nyangoma Mushema, Salvatory P. Chuwa, Monica Chiduo
In: East African Health Research Journal · 2023 · vol. 7(2) , pp. 217–220 · doi:10.24248/eahrj.v7i2.723 · W4389744493
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a 30-year-old Tanzanian woman with a 3-year history of umbilical swelling and pain who was diagnosed with secondary cutaneous endometriosis of the umbilicus via excisional biopsy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

The paper reports a single case of secondary cutaneous endometriosis of the umbilicus in Tanzania in a 30-year-old woman with a history of caesarean deliveries, presenting with a 3-year history of umbilical swelling, cyclical pain, and menses-related bleeding. Clinicians found a firm brown umbilical lesion (5×4 cm), performed a wide excisional biopsy, and histopathology confirmed endometriosis while ruling out malignancy. Follow-up after surgery showed no signs of recurrence. This paper is centrally about endometriosis — it describes a rare umbilical (cutaneous) secondary endometriosis case.

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Abstract

Introduction: Endometriosis is characterised by endometrial tissue outside the endometrial cavity. The implantation sites may be pelvic or extrapelvic in nature. Umbilical endometriosis is a rare type of cutaneous endometriosis, accounting for 0.5-1% of extrapelvic endometriosis cases. Current literature on umbilical endometriosis is absent in the Tanzanian population. Case Report: A 30-year-old woman with prior caesarean deliveries presented with a 3-year history of umbilical swelling, cyclical pain, and menses-related bleeding. Examination revealed a firm brown umbilical lesion measuring 5x4centimetres (cm). Wide excisional biopsy was performed. Histopathological examination confirmed endometriosis and ruled out malignancy. The postoperative follow-up revealed no signs of recurrence. Conclusions: This case report highlights the need for high clinical vigilance and comprehensive differential diagnosis, especially for recurring and cyclical abdominal symptoms. Despite resource limitations, accurate diagnosis and appropriate treatment can result in the successful management of this rare condition. The report emphasises the urgency for clinicians to boost awareness, promote research, and advocate for better resources to ensure optimal patient outcomes.
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Abstract

Introduction: Endometriosis is characterised by endometrial tissue outside the endometrial cavity. The implantation sites may be pelvic or extrapelvic in nature. Umbilical endometriosis is a rare type of cutaneous endometriosis, accounting for 0.5-1% of extrapelvic endometriosis cases. Current literature on umbilical endometriosis is absent in the Tanzanian population. Case Report: A 30-year-old woman with prior caesarean deliveries presented with a 3-year history of umbilical swelling, cyclical pain, and menses-related bleeding. Examination revealed a firm brown umbilical lesion measuring 5x4centimetres (cm). Wide excisional biopsy was performed. Histopathological examination confirmed endometriosis and ruled out malignancy. The postoperative follow-up revealed no signs of recurrence.

Conclusions

This case report highlights the need for high clinical vigilance and comprehensive differential diagnosis, especially for recurring and cyclical abdominal symptoms. Despite resource limitations, accurate diagnosis and appropriate treatment can result in the successful management of this rare condition. The report emphasises the urgency for clinicians to boost awareness, promote research, and advocate for better resources to ensure optimal patient outcomes.

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Condition tags

endometriosis

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (29)

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