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Primary umbilical endometriosis: case report and discussion on management options

Fancellu, Alessandro and Pinna, Antonio <1963- > and Manca, Alessandra and Capobianco, Giampiero and Porcu, Alberto (2013) Primary umbilical endometriosis: case report and discussion on management options. International journal of surgery case reports, Vol. 4 (12), p. 1145-1148. eISSN 2210-2612. Article.

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DOI: 10.1016/j.ijscr.2013.11.001

Abstract

INTRODUCTION: We report a recently observed case of primary umbilical endometriosis (UE), with the main aim to discuss the management of this rare condition.
PRESENTATION OF CASE: A 24-year-old woman complained of a painful nodule on her umbilical region, bleeding with her menstrual cycle. Ultrasonography showed a hypoechoic superficial mass in the umbilicus and no signs of intra-abdominal endometriosis. Excision of the nodule under local anesthesia was performed. Histopathological analysis confirmed the diagnosis of umbilical endometriosis. Neither symptoms nor signs of local recurrence have been observed after 24 months.
DISCUSSION: UE should be taken into account in differential diagnosis of umbilical disorders even in young nulliparous women with no typical symptoms of pelvic endometriosis. Although there is a substantial agreement about the necessity of surgery, treatment options are either local excision of the lesion or removal of the whole umbilicus with or without laparoscopic exploration of the peritoneal cavity. The decision should be tailored for the individual patient, taking into consideration the size of the lesion, the duration of symptoms and the presence of possible pelvic endometriosis.
CONCLUSION: Local excision saving the umbilicus may be the treatment of choice in patients with small UE lesions.

Item Type:Article
ID Code:9837
Status:Published
Refereed:Yes
Uncontrolled Keywords:Endometriosis, umbilicus, treatment
Subjects:Area 06 - Scienze mediche > MED/40 Ginecologia e ostetricia
Area 06 - Scienze mediche > MED/30 Malattie apparato visivo
Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Medicina Clinica e Sperimentale
Publisher:Elsevier
eISSN:2210-2612
Deposited On:29 May 2014 11:28

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