Coexistence of Primary Umbilical Endometriosis and Endometrial Hyperplasia: A Case Report and Review of the Literature

Temesgen Tilahun,1 Jiregna Feyera,1 Mathios Tamene,2 Nega Desalegn,3 Rut Oljira4 1Department of Obstetrics & Gynecology, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia; 2Department of Pathology, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia; 3Department of Anesthesia, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia; 4Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, EthiopiaCorrespondence: Temesgen Tilahun, Department of Obstetrics & Gynecology, Institute of Health Sciences, Wollega University, P.O Box 395, Nekemte, Ethiopia, Tel +251912057186, Email [email protected]: Unusual ectopic growth of endometrial tissue in the umbilicus of a patient who has not undergone surgery is known as primary umbilical endometriosis. When a patient presents with an umbilical nodule, whether or not they have symptoms, it is critical to have a high index of suspicion.Case Summary: Here, we present a rare case of umbilical endometriosis with concurrent endometrial hyperplasia in a 40-year-old para II patient from Western Ethiopia. A total abdominal hysterectomy and umbilical nodule excision were performed under general anesthesia. After two months, she returned for a follow-up visit and was in good health.Conclusion: Primary umbilical endometriosis may coexist with endometrial hyperplasia. Hence, in order to provide suitable comprehensive management, a thorough gynecological evaluation is required.Keywords: umbilical endometriosis, umbilical nodule, endometrial hyperplasia