[Umbilical endometriosis without previous pelvic surgery]
Bruno Ramalho de Carvalho1, Júlio César Rosa e Silva, Ana Carolina Japur de Sá Rosa e Silva
1Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brasil.
Summary
Umbilical endometriosis, a rare condition, presents as umbilical bleeding or nodules in women of reproductive age. Surgical excision is an effective treatment, resolving symptoms and preventing recurrence.
Area of Science:
- Gynecology
- Surgical Pathology
Context:
- Umbilical endometriosis is a rare condition.
- It can occur in women of reproductive age without prior pelvic surgery.
- Symptoms include umbilical bleeding, nodules, and sometimes pelvic pain.
Purpose:
- To present a series of cases of umbilical endometriosis in reproductive-aged patients.
- To highlight diagnostic and treatment approaches for this rare entity.
Summary:
- Four women aged 33-43 with umbilical bleeding underwent ultrasound-guided surgical excision and histological examination.
- Ultrasonography revealed hypoechoic umbilical lesions suggestive of endometriosis.
- Surgical excision was curative, with no recurrence at one-year follow-up. Concomitant pelvic endometriosis was found in only one patient.
Impact:
- This case series emphasizes the importance of considering umbilical endometriosis in the differential diagnosis of umbilical lesions.
- Surgical excision is confirmed as an effective treatment for umbilical endometriosis.
- Early diagnosis and treatment lead to favorable outcomes and symptom resolution.
