Multifocal abdominal endometriosis, a case report.
Julia Porter1, Jacob Eisdorfer1, Crystal Yi1
1Department of Surgery, St. Johns Episcopal Hospital, Far Rockaway, New York, NY, USA.
Journal of Surgical Case Reports
|June 30, 2020
Summary
This case report details rare multifocal endometriosis involving the pelvis, appendix, and umbilicus. Surgical excision confirmed endometriosis, offering a potential solution for recurrent umbilical masses.
Area of Science:
- Reproductive Endocrinology
- Surgical Pathology
Background:
- Endometriosis typically affects pelvic organs.
- Extrapelvic endometriosis, especially multifocal, is exceptionally rare.
Observation:
- A 52-year-old female presented with a recurrent umbilical mass years after hernia repair.
- Diagnostic laparoscopy revealed an umbilical mass, a dilated appendix, and an adjacent ovoid mass.
Findings:
- Pathology confirmed endometriosis in the umbilical mass.
- The case highlights multifocal endometriosis involving the umbilicus and appendix.
Implications:
- This case underscores the importance of considering endometriosis in unexplained umbilical masses.
- Surgical excision can be both diagnostic and therapeutic for rare extrapelvic endometriosis.
- Limited pre-operative diagnostic options necessitate a high index of suspicion.
