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Adhesions caused by umbilical piercing.

Gary Ventolini¹, Steve Kleeman

¹Department of Obstetrics and Gynecology, Good Samaritan Hospital, Cincinnati, OH, USA.

The Journal of the American Association of Gynecologic Laparoscopists

|May 7, 2003

Summary

This summary is machine-generated.

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A woman

Area of Science:

Gastroenterology
Gynecology
Surgical Innovation

Background:

Chronic pelvic pain (CPP) significantly impacts quality of life.
Medical management of CPP is often challenging and may fail.
Identifying uncommon etiologies of CPP is crucial for effective treatment.

Observation:

A 31-year-old woman presented with refractory chronic pelvic pain.
Her medical history and initial examinations were unremarkable, apart from multiple body piercings.
Diagnostic laparoscopy was performed to investigate the persistent pain.

Findings:

Laparoscopy identified an umbilical adhesion involving the small bowel and anterior abdominal wall.
The adhesion was potentially linked to a body piercing.

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The patient opted to remove the piercing instead of undergoing surgical adhesiolysis.

Implications:

Body piercings, particularly umbilical piercings, may contribute to intra-abdominal adhesions and chronic pain.
This case highlights the importance of considering iatrogenic or foreign-body related causes in refractory CPP.
Minimally invasive interventions, like piercing removal, may resolve pain associated with adhesions, avoiding surgery.