Primary Umbilical Endometriosis: Case Report

Primary Umbilical Endometriosis: Case Report

Introduction Endometriosis is defined as the presence of endometrial tissue, including glands and stroma, located outside of the uterine cavity. Case Report We report the case of a 26-year-old patient who presents cyclical omphalorrhagia. Upon physical examination, a bluish nodule at the umbilical l...

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Veröffentlicht in:Journal of endometriosis and pelvic pain disorders 2016-07, Vol.8 (3), p.122-125
Hauptverfasser: Calderón, Juan Manuel, Fernández, María Ximena, Ben, Sebastián, Germano, Gladis, Artucio, Santiago
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container_end_page 125
container_issue 3
container_start_page 122
container_title Journal of endometriosis and pelvic pain disorders
container_volume 8
creator Calderón, Juan Manuel
Fernández, María Ximena
Ben, Sebastián
Germano, Gladis
Artucio, Santiago
description Introduction Endometriosis is defined as the presence of endometrial tissue, including glands and stroma, located outside of the uterine cavity. Case Report We report the case of a 26-year-old patient who presents cyclical omphalorrhagia. Upon physical examination, a bluish nodule at the umbilical level and a tumor in the retro-cervical septum are found. Diagnosis is made of primary umbilical endometriosis (PUE) and deep endometriosis. Umbilical nodule resection and confirmatory diagnostic laparoscopy are performed, with good evolution afterwards. In relation to the pathophysiology of endometriosis, it is considered a chronic disease which includes genetic, epigenetic, inflammatory and hormone-dependent factors. As for PUE, vascular or lymphatic dissemination may explain the presence of umbilical implants. Another theory for this is coelomic metaplasia. Conclusions PUE is an extremely rare condition, with only 59 reported cases in the last 25 years. Its treatment of choice is surgical.
doi_str_mv 10.5301/je.5000250
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Case Report We report the case of a 26-year-old patient who presents cyclical omphalorrhagia. Upon physical examination, a bluish nodule at the umbilical level and a tumor in the retro-cervical septum are found. Diagnosis is made of primary umbilical endometriosis (PUE) and deep endometriosis. Umbilical nodule resection and confirmatory diagnostic laparoscopy are performed, with good evolution afterwards. In relation to the pathophysiology of endometriosis, it is considered a chronic disease which includes genetic, epigenetic, inflammatory and hormone-dependent factors. As for PUE, vascular or lymphatic dissemination may explain the presence of umbilical implants. Another theory for this is coelomic metaplasia. Conclusions PUE is an extremely rare condition, with only 59 reported cases in the last 25 years. 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