Umbilical endometriosis along with peritoneal endometriosis: a case report

Authors

  • T. Ramani Devi Senior Consultant, Ramakrishna Medical Centre LLP, Janani Fertility Centre, Trichy, Tamil Nadu, India
  • C. Archana Devi Junior Consultant, Ramakrishna Medical Centre LLP, Janani Fertility Centre, Trichy, Tamil Nadu, India
  • C. Aparna Devi Junior assistant, Ramakrishna Medical Centre LLP, Janani Fertility Centre, Trichy, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20191977

Keywords:

Endometriosis, Laparoscopy, Peritoneum umbilical

Abstract

Incidence of endometriosis is around 10 to 15% in women of reproductive age group. Umbilical endometriosis is a very rare entity. Extra genital endometriosis accounts to 3% of endometriosis. Incidence of umbilical endometriosis is 0.5%-4% of extra genital endometriosis. 30 years old multi gravida was referred to our hospital with c/o periodic bleeding from the umbilicus for the past 3 months. She was also having dysmenorrhoea for about 3 months. On examination, patient had a small bluish nodule in the umbilicus around 1.5x1.2 cm in size. Clinically there was suspicion of pelvic endometriosis as the uterus was retroverted and fixed. CT abdomen showed a small hypo-echoeic area in the umbilicus and uterus was adenomyotic with normal ovaries. Patient was given the option of laparoscopy and excision of umbilicus, as there was suspicion of peritoneal endometriosis and the patient also insisted upon laparoscopic sterilization. Laparoscopy showed early peritoneal endometriosis with pelvic adhesions and the same adhesiolysis was done along with cauterization of endometriosis. Sterilization was also done as per the patient’s request. Umbilical excision and layer closure was done. Umbilical endometriosis is a rare entity. This patient had associated early pelvic endometriosis. Umbilical endometriosis could be secondary to the lympho vascular spread from the pelvic endometriosis or primary umbilical endometriosis. History, clinical and imaging were pointing towards umbilical endometriosis. Surgical excision of umbilical endometriosis and cauterisation of early pelvic endometriosis were done. Patient needs follow up. Umbilical endometriosis may be primary or secondary which needs total excision and follow up.

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Author Biography

T. Ramani Devi, Senior Consultant, Ramakrishna Medical Centre LLP, Janani Fertility Centre, Trichy, Tamil Nadu, India

Gynaeclogy

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Published

2019-04-29

How to Cite

Devi, T. R., Devi, C. A., & Devi, C. A. (2019). Umbilical endometriosis along with peritoneal endometriosis: a case report. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 8(5), 2106–2110. https://doi.org/10.18203/2320-1770.ijrcog20191977

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Section

Case Reports