Primary umbilical endometriosis: Radical excision (omphalectomy) and laparoscopic management of associated pelvic endometriosis in a low resource tertiary hospital

Primary umbilical endometriosis (PUE) is a rare condition affecting 0.5 - 1% of all extragenital endometriosis cases. We reviewed the data of five women with umbilical endometriosis retrospectively. The age range was 29 - 46 years, and they were all nulligravid at presentation. Common clinical prese...

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Veröffentlicht in:African journal of reproductive health 2021-08, Vol.25 (4), p.167-173
Hauptverfasser: Adewole, Adebayo A, Akintobi, Olajide A, Musa, Abdulkarim O, Nzurumike, Charles N, Mohammed, Umoru F, Ebune, Ojochide S, Fadahunsi, Oluwaseyi O, Awelimobor, Daniel I, Adesina, Kikelomo T, Adamu, Aisha N, Amode, Olayinka, Obinwanne, Samuel C
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container_end_page 173
container_issue 4
container_start_page 167
container_title African journal of reproductive health
container_volume 25
creator Adewole, Adebayo A
Akintobi, Olajide A
Musa, Abdulkarim O
Nzurumike, Charles N
Mohammed, Umoru F
Ebune, Ojochide S
Fadahunsi, Oluwaseyi O
Awelimobor, Daniel I
Adesina, Kikelomo T
Adamu, Aisha N
Amode, Olayinka
Obinwanne, Samuel C
description Primary umbilical endometriosis (PUE) is a rare condition affecting 0.5 - 1% of all extragenital endometriosis cases. We reviewed the data of five women with umbilical endometriosis retrospectively. The age range was 29 - 46 years, and they were all nulligravid at presentation. Common clinical presentation was umbilical pain and masses, dysmenorrhea, and primary infertility. Radical umbilical excision was performed to remove the nodule as a definitive treatment. Diagnostic laparoscopy was performed, followed by varying degrees of operative laparoscopic procedures. They all had endometriosis in the pelvis. Three out of five women operated became pregnant and had live births. Complete resolution of clinical symptoms with a reduction in umbilical and menstrual pain scores occurred. In resource-constrained settings, diagnosis, and treatment of PUE may be challenging. Clinical suspicion and appropriate case management are critical for good reproductive outcomes and quality of life. (Afr J Reprod Health 2021; 25[4]: 167-173). L'endométriose ombilicale primaire (PUE) est une maladie rare affectant 0,5 à 1 % de tous les cas d'endométriose extragénitale. Nous avons examiné les données de cinq femmes atteintes d'endométriose ombilicale rétrospectivement. La tranche d'âge était de 29 à 46 ans, et ils étaient tous nulligravides à la présentation. Le tableau clinique commun était la douleur et les masses ombilicales, la dysménorrhée et l'infertilité primaire. Une excision ombilicale radicale a été réalisée pour retirer le nodule comme traitement définitif. La laparoscopie diagnostique a été réalisée, suivie de divers degrés de procédures laparoscopiques opératoires. Ils avaient tous une endométriose du bassin. Trois femmes opérées sur cinq sont tombées enceintes et ont eu des naissances vivantes. Une résolution complète des symptômes cliniques avec une réduction des scores de douleur ombilicale et menstruelle s'est produite. Dans les milieux à ressources limitées, le diagnostic et le traitement du PUE peuvent être difficiles. La suspicion clinique et une prise en charge appropriée des cas sont essentielles pour de bons résultats en matière de reproduction et une bonne qualité de vie. (Afr J Reprod Health 2021; 25[4]: 167-173).
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We reviewed the data of five women with umbilical endometriosis retrospectively. The age range was 29 - 46 years, and they were all nulligravid at presentation. Common clinical presentation was umbilical pain and masses, dysmenorrhea, and primary infertility. Radical umbilical excision was performed to remove the nodule as a definitive treatment. Diagnostic laparoscopy was performed, followed by varying degrees of operative laparoscopic procedures. They all had endometriosis in the pelvis. Three out of five women operated became pregnant and had live births. Complete resolution of clinical symptoms with a reduction in umbilical and menstrual pain scores occurred. In resource-constrained settings, diagnosis, and treatment of PUE may be challenging. Clinical suspicion and appropriate case management are critical for good reproductive outcomes and quality of life. (Afr J Reprod Health 2021; 25[4]: 167-173). L'endométriose ombilicale primaire (PUE) est une maladie rare affectant 0,5 à 1 % de tous les cas d'endométriose extragénitale. Nous avons examiné les données de cinq femmes atteintes d'endométriose ombilicale rétrospectivement. La tranche d'âge était de 29 à 46 ans, et ils étaient tous nulligravides à la présentation. Le tableau clinique commun était la douleur et les masses ombilicales, la dysménorrhée et l'infertilité primaire. Une excision ombilicale radicale a été réalisée pour retirer le nodule comme traitement définitif. La laparoscopie diagnostique a été réalisée, suivie de divers degrés de procédures laparoscopiques opératoires. Ils avaient tous une endométriose du bassin. Trois femmes opérées sur cinq sont tombées enceintes et ont eu des naissances vivantes. Une résolution complète des symptômes cliniques avec une réduction des scores de douleur ombilicale et menstruelle s'est produite. Dans les milieux à ressources limitées, le diagnostic et le traitement du PUE peuvent être difficiles. La suspicion clinique et une prise en charge appropriée des cas sont essentielles pour de bons résultats en matière de reproduction et une bonne qualité de vie. 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L'endométriose ombilicale primaire (PUE) est une maladie rare affectant 0,5 à 1 % de tous les cas d'endométriose extragénitale. Nous avons examiné les données de cinq femmes atteintes d'endométriose ombilicale rétrospectivement. La tranche d'âge était de 29 à 46 ans, et ils étaient tous nulligravides à la présentation. Le tableau clinique commun était la douleur et les masses ombilicales, la dysménorrhée et l'infertilité primaire. Une excision ombilicale radicale a été réalisée pour retirer le nodule comme traitement définitif. La laparoscopie diagnostique a été réalisée, suivie de divers degrés de procédures laparoscopiques opératoires. Ils avaient tous une endométriose du bassin. Trois femmes opérées sur cinq sont tombées enceintes et ont eu des naissances vivantes. Une résolution complète des symptômes cliniques avec une réduction des scores de douleur ombilicale et menstruelle s'est produite. 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We reviewed the data of five women with umbilical endometriosis retrospectively. The age range was 29 - 46 years, and they were all nulligravid at presentation. Common clinical presentation was umbilical pain and masses, dysmenorrhea, and primary infertility. Radical umbilical excision was performed to remove the nodule as a definitive treatment. Diagnostic laparoscopy was performed, followed by varying degrees of operative laparoscopic procedures. They all had endometriosis in the pelvis. Three out of five women operated became pregnant and had live births. Complete resolution of clinical symptoms with a reduction in umbilical and menstrual pain scores occurred. In resource-constrained settings, diagnosis, and treatment of PUE may be challenging. Clinical suspicion and appropriate case management are critical for good reproductive outcomes and quality of life. (Afr J Reprod Health 2021; 25[4]: 167-173). L'endométriose ombilicale primaire (PUE) est une maladie rare affectant 0,5 à 1 % de tous les cas d'endométriose extragénitale. Nous avons examiné les données de cinq femmes atteintes d'endométriose ombilicale rétrospectivement. La tranche d'âge était de 29 à 46 ans, et ils étaient tous nulligravides à la présentation. Le tableau clinique commun était la douleur et les masses ombilicales, la dysménorrhée et l'infertilité primaire. Une excision ombilicale radicale a été réalisée pour retirer le nodule comme traitement définitif. La laparoscopie diagnostique a été réalisée, suivie de divers degrés de procédures laparoscopiques opératoires. Ils avaient tous une endométriose du bassin. Trois femmes opérées sur cinq sont tombées enceintes et ont eu des naissances vivantes. Une résolution complète des symptômes cliniques avec une réduction des scores de douleur ombilicale et menstruelle s'est produite. Dans les milieux à ressources limitées, le diagnostic et le traitement du PUE peuvent être difficiles. La suspicion clinique et une prise en charge appropriée des cas sont essentielles pour de bons résultats en matière de reproduction et une bonne qualité de vie. (Afr J Reprod Health 2021; 25[4]: 167-173).</abstract><cop>Benin City</cop><pub>Women's Health and Action Research Centre</pub><doi>10.29063/ajrh2021/v25i4.17</doi><tpages>7</tpages></addata></record>
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source African Journals (Open access); Bioline International; JSTOR; EZB Electronic Journals Library
subjects Abdomen
Antibiotics
Endometriosis
Endométriose ombilicale
Infertility
infertilité
Laparoscopic surgery
Laparoscopy
Medical treatment
Menstruation
Metronidazole
nodule ombilical
Pain
Patients
Pelvis
Pregnancy
Quality of life
qualité de vie
Reproductive outcome
résultat reproductif
saignement ombilical
Surgery
Sutures
umbilical bleeding
Umbilical endometriosis
Umbilical nodule
Womens health
title Primary umbilical endometriosis: Radical excision (omphalectomy) and laparoscopic management of associated pelvic endometriosis in a low resource tertiary hospital
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