[Umbilical endometriosis]
Maiken Reimer1, Caroline Marie Ravndal2
1Kvinneklinikken, Stavanger universitetssjukehus.
Summary
Umbilical endometriosis, a rare condition, presents as a painful, bleeding nodule. Surgical excision is the standard treatment, with histopathology confirming the diagnosis.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Extragenital endometriosis can affect various organs, with umbilical endometriosis accounting for 0.5-1.2% of cases.
- Umbilical endometriosis presents primarily or secondarily, associated with or without umbilical scars.
- Common symptoms include cyclical pain, swelling, and bleeding from the umbilicus.
Observation:
- A woman in her thirties without prior abdominal scars presented with a painful umbilical nodule.
- The nodule exhibited spontaneous periodic bleeding and swelling.
- Magnetic Resonance Imaging (MRI) and fine needle aspiration cytology suggested umbilical endometriosis.
Findings:
- Histological examination after surgical excision confirmed the diagnosis of umbilical endometriosis.
- Surgical excision is the recommended treatment for umbilical endometriosis.
- Approximately 20% of patients may also have pelvic endometriosis, but diagnostic laparoscopy is reserved for symptomatic cases.
Implications:
- Umbilical endometriosis should be considered in the differential diagnosis of umbilical nodules with cyclical symptoms.
- Histopathology following surgical excision is crucial for definitive diagnosis.
- Management should be tailored, considering concurrent pelvic endometriosis only if clinically indicated.
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