Endometriosis of the umbilical ring

A Yakovenko, К. Л. Мурашко, V. N. Belyakovsky, E. P. Yakovenko
In: Health and Ecology Issues · 2023 · vol. 20(2) , pp. 141–145 · doi:10.51523/2708-6011.2023-20-2-18 · W4383877205
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This case report details the diagnosis and surgical treatment of endometriosis in the umbilical ring, supporting the migration theory of pathogenesis due to the absence of prior surgical history.

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The paper reports a clinical case of a 33-year-old patient with endometriosis involving the umbilical ring/umbilical soft tissues that was diagnosed and surgically treated. The authors describe the absence of prior surgical procedures in that area and use this to argue for a role of the migration theory of endometriosis pathogenesis. Their key finding is that, based on the history, endometrial cell migration could plausibly occur via retrograde penetration through blood and/or lymphatic vessels from the pelvic cavity. This paper is centrally about endometriosis — it focuses specifically on umbilical-ring (extragenital) endometriosis and its proposed migratory mechanism.

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Abstract

Objective. To present a clinical case of diagnosis and surgical treatment of one of the forms of extragenital endometriosis – umbilical ring endometriosis. Materials and methods. A clinical case of patient M., 33 years old, female, with diagnosed and operated endometrial heterotopia in the projection of the soft tissues of the umbilical region. Results. The probable role of the migration theory of the pathogenesis of endometriosis is demonstrated due to the lack of a history of surgical treatment in this area. Conclusion. The migration theory of the pathogenesis of endometriosis can be explained by the mechanism of retrograde penetration of endometrial cells through blood and/or lymphatic vessels from the pelvic cavity.
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Эндометриоз пупочного кольца https://doi.org/10.51523/2708-6011.2023-20-2-18 Аннотация Цель исследования. Представить клинический случай диагностики и хирургического лечения одной из форм экстрагенитального эндометриоза — эндометриоза пупочного кольца. Материалы и методы. Клинический случай пациентки М., 33 лет, с диагностированной и прооперированной эндеметриоидной гетеротопией в проекции мягких тканей пупочной области. Результаты. Продемонстрирована вероятная роль миграционной теории патогенеза эндометриоза ввиду отсутствия в анамнезе хирургического лечения в данной зоне. Заключение. Миграционную теорию патогенеза эндометриоза можно объяснить механизмом ретроградного проникновения клеток эндометрия по кровеносным и/или лимфатическим сосудам из полости малого таза. Об авторах А. С. ЯковенкоБеларусь Яковенко Алексей Сергеевич, врач онколог-хирург Гомель К. Л. Мурашко Беларусь Мурашко Константин Леонидович, к.м.н., врач ультразвуковой диагностики Гомель В. Н. Беляковский Беларусь Беляковский Василий Николаевич, д.м.н., профессор, профессор кафедры онкологии Гомель Е. П. Яковенко Беларусь Яковенко Елена Петровна, врач акушер-гинеколог Гомель Список литературы 1. Lukac S, Schmid M, Pfister K, et. all. Extragenital Endometriosis in the Differential Diagnosis of Non — Gynecological Diseasses. Dtsch Arztebl Int. 2022;119(20):361-367. DOI: https://doi.org/10.3238/arztebl.m2022.0176 2. García JS, Martínez EL, González TR, et all. Infiltrating endometriosis: diagnostic keys in abdominal ultrasonography. Radiologia (Engl Ed). 2021;63(1):32-41. DOI: https://doi.org/10.1016/j.rx.2020.09.007 3. Baldi A, Campioni M, Signorile PG. Endometriosis: Pathogenesis, diagnosis, therapy and association with cancer. Oncol Rep. 2008;19(4):843-846. DOI: https://doi.org/10.3892 / OR.19.4.843 4. Zollner U, Girschick G, Steck T, Dietl J. Umbilical endometriosis without previous pelvic surgery: a case report. Arch Gynecol Obstet. 2003;267:258-260. DOI: https://doi.org/10.1007 / s00404-002-0438-9 5. Reimer M, Ravndal С.M. Umbilikal endometriose. Tidsskr Nor Laegeforen. 2022;26:142(13). DOI: https://doi.org/10.4045/tidsskr.22.0126 6. Pallavi VB, Mamdouh MG. Menstruating from the umbilicus as a rare case of primary umbilical endometriosis: a case report. J Med Case Reports.2009;3:9326. DOI: https://doi.org/10.1186 / 1752-1947-3-9326 7. Ploteau S, Malvaux V, Draguet AP. Primary umbilical adenomyotic lesion presenting as cyclical periumbilical swelling. Fertil Steril. 2007;88(6):1674-1675. DOI: https://doi.org/10.1016/j.fertnstert.2007.03.091 8. Al-Quorain SA, Al-Yahya TA. Primary Umbilical Endometriosis: Case Report with Literature Review. Saudi J Med Med Sci. 2017;5(1):74-76. DOI: https://doi.org/10.4103/1658-631X.194259 9. Jaramillo-Cardoso A, Balcacer P, Garces-Descovich A. Multimodality imaging and clinicopathologic assessment of abdominal wall endometriosis: knocking down the enigma. Abdom Radiol (NY). 2018;45(6):1800-1812. DOI: https://doi.org/10.1007/s00261-018-1666-1 10. Hartigan CM, Holloway BJ. Case report: MR imaging features of endometriosis at the umbilicus. Br J Radiol. 2014;78:755-757. DOI: https://doi.org/10.1259/bjr/68622762 11. Lagana AS, Garzon S, Götte M, Vigano P, et all. The Pathogenesis of Endometriosis. Molecular and Cell Biology Insights. Int J Mol Sci. 2019;20(22):5615. DOI: https://doi.org/10.3390/ijms20225615 12. Lee A, Tran HT. Cutaneous endometriosis. Dermatol Online J 2008;14(10):23. DOI: https://doi.org/10.5070/D34jr4n5zg 13. Nirula R, Greaney GC. Incisional endometriosis: an underappreciated diagnosis in general surgery. J Am Coll Surg. 2000;190(4):404-407. DOI: https://doi.org/10.1016/ s1072-7515(99)00286-0 14. Dong Y, Braden B, Klinger C. Ultrasound findings in extragenital endometriosis. J Ultrason. 2018;18(74):247-254. DOI: https://doi.org/10.15557/JoU.2018.0036 15. Makena D, Obura T, Mutiso S, Oindi F. Umbilical endometriosis: a case series. J Med Case Rep. 2020 Sep 7;14(1):142. DOI: https://doi.org/10.1186/s13256-020-02492-9 16. Ozkol M, Yoleri L, Demir MA, Demireli P, Pabuscu Y. The significance of venous dominance in color Doppler ultrasound for the diagnosis of primary nodular skin lesions: a new perspective in classification. Clin Imaging. 2005;30:43-47. DOI: https://doi.org/10.1016/j.clinimag.2005.07.029 17. Filho JP, M Leão R, V. Horvat N, et all. What abdominal radiologists should know about extragenital endometriosis-associated neuropathy. Abdom Radiol (NY). 2020;45(6):1818-1828. DOI: https://doi.org/10.1007/s00261-018-1864-x Рецензия Для цитирования: Яковенко А.С., Мурашко К.Л., Беляковский В.Н., Яковенко Е.П. Эндометриоз пупочного кольца. Проблемы здоровья и экологии. 2023;20(2):141-145. https://doi.org/10.51523/2708-6011.2023-20-2-18 For citation: Yakovenko A.S., Murashko K.L., Belyakovsky V.N., Yakovenko E.P. Endometriosis of the umbilical ring. Health and Ecology Issues. 2023;20(2):141-145. (In Russ.) https://doi.org/10.51523/2708-6011.2023-20-2-18 JATS XML

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