Umbilical endometriosis in pregnancy without previous surgery
Inka Wiegratz1, Stefan Kissler, Knut Engels
1Division Gynecological Endocrinology and Reproductive Medicine, Department of Obstetrics and Gynecology, J. W. Goethe University, Frankfurt am Main, Germany. inka.wiegratz@kgu.de
Objective:
To illustrate the influence of pregnancy on primary umbilical endometriosis.
Design:
Case report.
Setting:
Gynecologic endocrinology outpatient department of a university hospital.
Patient(S):
27-year-old nulliparous woman.
Intervention(S):
Surgical treatment with total excision of the umbilicus during early pregnancy.
Main Outcome Measure(S):
Progressive enlargement of endometriotic umbilical lesions during pregnancy.
Result(S):
At 3-month follow-up evaluation, there were no signs of recurrence of the disease.
Conclusion(S):
Spontaneous umbilicus endometriosis is a rare disease that can worsen during pregnancy.

