Primary umbilical endometriosis (PUE)
Daniel Boesgaard-Kjer1, Diana Boesgaard-Kjer1, Jens Jørgen Kjer1
1Clinic of Gynecology, Rigshospitalet, University of Copenhagen, Denmark.
Summary
Villars nodule, a rare form of umbilical endometriosis, presents with cyclic pain and bleeding. Diagnosis often requires imaging and histology, with surgical excision yielding good results for this uncommon condition.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Primary umbilical endometriosis, also known as a Villars nodule, is a rare clinical occurrence.
- It typically presents as a discolored umbilical lesion with cyclical, menstruation-related symptoms including pain, swelling, and bleeding.
Purpose of the Study:
- To describe ten cases of primary umbilical endometriosis.
- To analyze the diagnostic referral patterns for this rare condition.
Main Methods:
- Case series presentation.
- Review of diagnostic methods including imaging and histology.
- Analysis of patient referral pathways.
Main Results:
- Ten cases of primary umbilical endometriosis were identified.
- Diagnosis was confirmed through imaging and histological examination.
- Referral patterns indicated a frequent initial consultation with gastro-surgeons, suggesting diagnostic challenges.
Conclusions:
- Primary umbilical endometriosis is an uncommon diagnosis presenting with characteristic cyclical symptoms.
- Accurate diagnosis can be challenging, often leading to initial misreferrals.
- Radical excision is an effective treatment modality with positive outcomes.
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