Symptomatic Primary Umbilical Endometriosis: A Case Report and A Review of the Literature

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Symptomatic Primary Umbilical Endometriosis: A Case Report and A Review of the Literature

1BACHAR Amine, 2JAMALEDDINE Khalid, 3MASTAR Hajar, 4ESSAIDI Zakaria, 5ELABBASSI Taoufik, 6LEFRIYEKH Mohamed Rachid
1,2,3,4,5,6Department of general surgery, IBN ROCHD University hospital of Casablanca, Casablanca, Morocco


ABSTRACT:

Endometriosis is a condition defined as extrauterine functional endometrial tissue, typically seen on pelvic peritoneal surfaces, leading to symptoms such as cyclic pain, dysmenorrhea, dyspareunia, and infertility. Extra-pelvic endometriosis is uncommon, especially the umbilical form. We present an interesting case of primary umbilical endometriosis (Villar’s nodule) in a patient with no medical or surgical history, who presented with umbilical pain and bleeding. She was found to have a bluish umbilical nodule, which was surgically removed and sent to the pathology to confirm the diagnosis. The report aims to highlight the diagnosis and management of umbilical endometriosis and the possibility of its occurrence even in patients without prior surgical history.


KEYWORDS:

Primary Umbilical endometriosis – Umbilical bleeding – Cyclic umbilical swelling – Surgical excision

 

REFERENCES :

1) D. Dridi et al., “Umbilical Endometriosis: A Systematic Literature Review and Pathogenic Theory Proposal,” JCM, vol. 11, no. 4, p. 995, Feb. 2022, doi: 10.3390/jcm11040995.
2) D. Boesgaard-Kjer, D. Boesgaard-Kjer, and J. J. Kjer, “Primary umbilical endometriosis (PUE),” European Journal of Obstetrics & Gynecology and Reproductive Biology, vol. 209, pp. 44–45, Feb. 2017, doi: 10.1016/j.ejogrb.2016.05.030.
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4) C. Davies, A. M. Davies, L.-G. Kindblom, and S. James, “Soft Tissue Tumors with Muscle Differentiation,” Semin Musculoskelet Radiol, vol. 14, no. 02, pp. 245–256, Jun. 2010, doi: 10.1055/s-0030-1253165. 
5) A. Hamouie, E. Brunn, J. Orzel, S. R. Shehr, and J. K. Robinson, “Joint Treatment of De Novo Umbilical Endometriosis with Plastic Surgery and Minimally Invasive Gynecologic Surgery”.
6) D. Makena, T. Obura, S. Mutiso, and F. Oindi, “Umbilical endometriosis: a case series,” J Med Case Reports, vol. 14, no. 1, p. 142, Dec. 2020, doi: 10.1186/s13256-020-02492-9.

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