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Umbilical endometriosis: a case series

BACKGROUND: Endometriosis is the presence of endometrial tissue outside the uterine cavity. The lesions are typically found in the pelvic cavity but can occur in other extrapelvic areas. Umbilical endometriosis, also known as Villar’s node, is a rare disease comprising 0.5–1% of all extrapelvic dise...

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Autores principales: Makena, Dorothy, Obura, Timona, Mutiso, Steve, Oindi, Felix
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487815/
https://www.ncbi.nlm.nih.gov/pubmed/32892752
http://dx.doi.org/10.1186/s13256-020-02492-9
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author Makena, Dorothy
Obura, Timona
Mutiso, Steve
Oindi, Felix
author_facet Makena, Dorothy
Obura, Timona
Mutiso, Steve
Oindi, Felix
author_sort Makena, Dorothy
collection PubMed
description BACKGROUND: Endometriosis is the presence of endometrial tissue outside the uterine cavity. The lesions are typically found in the pelvic cavity but can occur in other extrapelvic areas. Umbilical endometriosis, also known as Villar’s node, is a rare disease comprising 0.5–1% of all extrapelvic disease. It commonly presents with cyclical pain and bleeding from an umbilical nodule. CASE SERIES: We present a retrospective case series of five African patients with umbilical endometriosis diagnosed and treated between July 2015 and February 2019 at a tertiary health facility. The patients were aged between 31 and 47 years, and all presented with an umbilical swelling and pain. They had lesions with diameters ranging from 1.6 cm to 4 cm. The duration of symptoms ranged between 3 and 60 months. Their diagnoses were made on the basis of clinical presentation followed by surgical excision. In all the cases, diagnosis was confirmed by histopathology with no malignancy detected. CONCLUSION: Umbilical endometriosis is a rare condition that should be considered as a differential diagnosis in women with umbilical lesions. Diagnosis is mostly clinical; most patients present with umbilical swelling, cyclical pain, and bleeding or discharge. Imaging has a limited role. Surgical excision is the treatment of choice with low risk of malignancy or recurrence.
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spelling pubmed-74878152020-09-16 Umbilical endometriosis: a case series Makena, Dorothy Obura, Timona Mutiso, Steve Oindi, Felix J Med Case Rep Case Report BACKGROUND: Endometriosis is the presence of endometrial tissue outside the uterine cavity. The lesions are typically found in the pelvic cavity but can occur in other extrapelvic areas. Umbilical endometriosis, also known as Villar’s node, is a rare disease comprising 0.5–1% of all extrapelvic disease. It commonly presents with cyclical pain and bleeding from an umbilical nodule. CASE SERIES: We present a retrospective case series of five African patients with umbilical endometriosis diagnosed and treated between July 2015 and February 2019 at a tertiary health facility. The patients were aged between 31 and 47 years, and all presented with an umbilical swelling and pain. They had lesions with diameters ranging from 1.6 cm to 4 cm. The duration of symptoms ranged between 3 and 60 months. Their diagnoses were made on the basis of clinical presentation followed by surgical excision. In all the cases, diagnosis was confirmed by histopathology with no malignancy detected. CONCLUSION: Umbilical endometriosis is a rare condition that should be considered as a differential diagnosis in women with umbilical lesions. Diagnosis is mostly clinical; most patients present with umbilical swelling, cyclical pain, and bleeding or discharge. Imaging has a limited role. Surgical excision is the treatment of choice with low risk of malignancy or recurrence. BioMed Central 2020-09-07 /pmc/articles/PMC7487815/ /pubmed/32892752 http://dx.doi.org/10.1186/s13256-020-02492-9 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Makena, Dorothy
Obura, Timona
Mutiso, Steve
Oindi, Felix
Umbilical endometriosis: a case series
title Umbilical endometriosis: a case series
title_full Umbilical endometriosis: a case series
title_fullStr Umbilical endometriosis: a case series
title_full_unstemmed Umbilical endometriosis: a case series
title_short Umbilical endometriosis: a case series
title_sort umbilical endometriosis: a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487815/
https://www.ncbi.nlm.nih.gov/pubmed/32892752
http://dx.doi.org/10.1186/s13256-020-02492-9
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