Alleviating Bothersome Symptoms of Umbilical Endometriosis by En Bloc Resection in a Young, Fertile Patient

Indah Jamtani, Jamtani I, Vania Myralda Giamour Marbun
In: Qeios · 2025 · doi:10.32388/5vutgm · W4410325804
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⚙ AI-generated summary by claude@2026-06, 2026-06-18 ⓘ

This case report details the successful en bloc resection of a painful umbilical endometriosis nodule and subsequent neoumbilicoplasty in a young female, resulting in no recurrence and good cosmetic outcomes.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-18 · read from full text ⓘ

This paper describes the management of bothersome symptoms of umbilical endometriosis in a young, fertile patient using en bloc resection. The authors report on symptom alleviation following surgical removal of the umbilical lesion, emphasizing the use of en bloc technique for this localized disease presentation. A key limitation is that the evidence is based on a single case report, which restricts generalizability. This paper is centrally about endometriosis — it focuses specifically on umbilical endometriosis treated with en bloc resection.

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Abstract

BACKGROUND: Abdominal wall endometriosis (AWE) is the most common extra-pelvic endometriosis encountered. Between 30% and 40% of AWE cases are umbilical endometriosis (UE), also known as Villar’s nodule. This is a rare form of endometriosis, accounting for only 0.5% to 4% of extragenital seedings. METHODS: We present a case of UE in a young, fertile female treated with en-bloc resection of the nodule in accordance with the Surgical Case Report (SCARE) guidelines. RESULT: A 35-year-old female presented with a persistent, painful, discolored mass in the umbilical region. An initial physical examination revealed a 2x2x2 cm discolored mass protruding from the umbilicus, accompanied by cyclical bleeding coinciding with her menstrual cycle. The mass was excised along the umbilicus, extending to the _linea alba_ and peritoneum. To ensure the complete removal of all endometrial tissue from the nodule margins, a specimen was sent for a frozen section, confirming the presence of endometrial tissue and clear margins. A vertical two-lateral flap _neoumbilicoplasty_ was performed. The patient exhibited no recurrent lesions, and the _neoumbilicoplasty _resulted in good cosmetic outcomes. CONCLUSION: En-bloc resection and excision of the underlying peritoneum is the best choice for treating UE. A vertical umbilical reconstruction after excision offers excellent cosmetic results.
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endometriosis

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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.

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