Umbilical endometriosis: anatomo-clinical presentation, imaging aspects and therapeutic attitude

Umbilical endometriosis (EO) is a condition characterized by the presence in the ectopic situation of endometrial structures. Through an observation we want to highlight the clinical and paraclinical imagery of the condition and the modalities of its management in the light of a review of the literature. We report the case of EO in a 41-year-old woman with no significant pathological history, admitted for a painful umbilical tumor of 4 years. It measured 6 by 4 cm, very painful, surfaced with macronodules and hypo and hyperpigmented micronodules in clusters that sit on the mobile umbilical region of firm consistency sensitive to palpation and which increases in volume at the time of menstruation. It was imaged on ultrasound and in particular on a CT scan with a radioclinic diagnostic approach, showing a fairly homogeneous tissue wall mass in contact with the peritoneum without infiltration and without abdominal and pelvic abnormalities, with benign characters, compatible With EO confirmed by histopathology. Data from the literature confirm primary umbilical localization; the clinical, radiological, histopathological and cyclic symptomatology make it possible to evoke the diagnosis in order to establish an adequate and often effective therapeutic strategy. All cases of EO should be clinically and paraclinically documented to aid in positive and differential diagnosis and to successfully complete tumor resection.