Umbilical endometriosis: case report and literature review
DOI:
https://doi.org/10.11606/issn.1679-9836.v102iespe-203831Keywords:
Endometriosis, Umbilicus, Genital Diseases, Female Genitalia, Rare DiseasesAbstract
Endometriosis is a disease characterized by the presence of endometrial tissue outside the uterine cavity. Umbilical endometriosis consists in the presence of endometrial glands and/or stroma in the inner region of the navel. The objective of this study is to report a secondary umbilical endometriosis case related to previous rectosigmoidectomy and perform a literature review. The pathogenesis of umbilical endometriosis is not yet fully understood, but there are theories attributed to retrograde menstrual flow, metaplastic transformation, and iatrogenic deposition in remnant surgical procedures. The classification into primary or secondary occurs according to the origin of the disease. Symptoms include cyclic abdominal pain and umbilical bleeding. The diagnosis is made by anamnesis and physical examination, being confirmed by complementary exams, such as histopathological analysis. The treatment of choice should be total excision of the lesion and pathological analysis. Hormonal treatments can help in the surgical treatment, regression of the lesion, and prevention of recurrence.
Downloads
References
Makena D, Obura T, Mutiso S, Oindi F. Umbilical endometriosis: a case series. J Med Case Rep. 2020;14(1). https://doi.org/10.1186/s13256-020-02492-9
Bindra V, Sampurna S, Kade S, Mohanty GS, Madhavi N, Swetha P. Primary Umbilical endometriosis - case series and review of clinical presentation, diagnosis and management. Int J Surg Case Rep. 2022;94:107134. https://doi.org/10.1016/j.ijscr.2022.107134.
Santos Filho PVD, Santos MPD, Castro S, Melo VAD. Primary umbilical endometriosis. Rev Col Bras Cir. 2018;45(3). https://doi.org/10.1590/0100-6991e-20181746
Dridi D, Chiaffarino F, Parazzini F, Donati A, Buggio L, Brambilla M, et al. Umbilical endometriosis: a systematic literature review and pathogenic theory proposal. J Clin Med. 2022;11(4):995. https://doi.org/10.3390/jcm11040995
Moisés CB, Gonçalves AM, Vieira AC, Michelino AR, Assunção BA, Maia ADB, et al. Endometriose umbilical: relato de caso e revisão de literatura. Rev Bras Cir Plást. 2018;33(3):433-6. http://www.dx.doi.org/10.5935/2177-1235.2018RBCP0160
Vellido-Cotelo R, Muñoz-González JL, Oliver-Pérez MR, de la Hera-Lázaro C, Almansa-González C, Pérez-Sagaseta C, et al. Endometriosis node in gynaecologic scars: a study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center. BMC Women’s Health. 2015;15(1). https://doi.org/10.1186/s12905-015-0170-9
Nominato NS, Prates LFVS, Lauar I, Morais J, Maia L, Geber S. Endometriose de cicatriz cirúrgica: estudo retrospectivo de 72 casos. Rev Bras Ginecol Obstetr. 2007;29(8). https://doi.org/10.1590/S0100-72032007000800007
Borges Fidelis MA, Thien CI, Benjamim BGV, Saboya Barbosa de Azevedo LSB, Santos Steffen M, Martins Brotas A, et al. Endometriose cutânea umbilical: relato de caso. J Portug Soc Dermatol Venereol. 2018;76(3):317–20. https://dx.doi.org/10.29021/spdv.76.3.885
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Beatriz Milene de Oliveira Camargo, Maria Júlia Da Gama Fortunato Ziliani, Isadora Dufrayer Fânzeres Monteiro Fortes, Luiza de Oliveira Fortunato, Natália Dier Guimarães, Rafaela De Calais, Giovana Da Gama Fortunato
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.