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Umbilical endometriosis.

F Frischknecht1, L Raio, A Fleischmann

  • 1Department of Obstetrics and Gynaecology, Kantonsspital Münsterlingen, 8596 Scherzingen, Switzerland.

Surgical Endoscopy
|April 27, 2004
PubMed
Summary
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Umbilical endometriosis, a rare condition, presents as a painful, bluish nodule in the navel. Diagnosis may require laparoscopy to identify associated pelvic endometriosis.

Area of Science:

  • Gynecology
  • Dermatology
  • Surgical Pathology

Background:

  • Umbilical endometriosis is a rare extrapelvic manifestation of endometriosis.
  • It typically presents as a localized lesion in the navel.

Observation:

  • Two women presented with recurrent, mildly painful, bluish umbilical nodules.
  • Symptoms included local tenderness and menstrual-related bleeding.
  • No prior pelvic surgery was reported in either case.

Findings:

  • Excision confirmed primary umbilical endometriosis in both patients.
  • One patient also had concomitant pelvic endometriosis identified via laparoscopy.
  • Literature review suggests laparoscopy is indicated for diagnosing associated pelvic endometriosis.

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Implications:

  • Umbilical endometriosis should be considered in the differential diagnosis of umbilical lesions.
  • Laparoscopy aids in detecting associated pelvic endometriosis, guiding treatment.
  • Understanding etiopathogenesis is crucial for managing this rare condition.