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
Fertility and Sterility
|October 2, 2007
Summary
Pregnancy can significantly worsen primary umbilical endometriosis, a rare condition. Surgical excision during early pregnancy led to no recurrence at 3-month follow-up.
Area of Science:
- Gynecology
- Reproductive Endocrinology
- Surgical Case Reports
Background:
- Primary umbilical endometriosis is a rare condition.
- Endometriotic implants at the umbilicus can present diagnostic challenges.
- The influence of pregnancy on umbilical endometriosis is not well-documented.
Purpose of the Study:
- To illustrate the impact of pregnancy on primary umbilical endometriosis.
- To report a case of umbilical endometriosis managed during early pregnancy.
Main Methods:
- A case report of a 27-year-old nulliparous woman.
- Diagnosis of primary umbilical endometriosis.
- Surgical management via total umbilical excision during early pregnancy.
Main Results:
- The endometriotic umbilical lesions showed progressive enlargement during pregnancy.
- Post-surgical follow-up at 3 months revealed no signs of disease recurrence.
Conclusions:
- Spontaneous umbilical endometriosis is a rare entity.
- Pregnancy can exacerbate umbilical endometriosis.
- Surgical excision is an effective treatment for umbilical endometriosis during pregnancy.
