medigraphic.com

2018, Number 2

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2018; 56 (2)

Primary umbilical endometriosis (Villar’s nodule): Case report

Benardete-Harari DN, Muñoz-de Cote Frade JM, Hidalgo-Carrera JA, Felgueres-Hermida A, Meraz-Ávila D

Language: Spanish
References: 13
Page: 203-206
PDF size: 363.84 Kb.


ABSTRACT

Background: Umbilical endometriosis or Villar’s nodule is uncommon. Incidence goes up to 0.5-1.2% of all patients with endometriosis. As far as 2012, only 109 cases of umbilical endometriosis have been reported worldwide, there is no incidence reports in Mexico. Clinically, it’s a solitary node, solid and well defined, colored red, blue or black and it’s ocassionally accompanied by bleeding and dysmenorrhea. The treatment can be medical or surgical and it consists of painkillers, and hormonal suppression using GnRH analogues, hormonal contraceptives, danazol or progesterone. Surgical treatment consists in complete resection of the umbilical lesion. The aim of this paper is to present a clinical report case of and inusual pathology.
Clinical case: A 34 year-old patient comes to the clinic due to severe umbilical pain of some months, associated with enlargement, swelling and cyclic menstrual bleeding. Escision of the lesion is performed and sent to pathology having the diagnosis of umbilical endometriosis. There is no evidence of endometriosic implants under laparoscopic control.
Conclusions: Regards of being a rare pathology, umbilical endometriosis must be taken as a differential diagnosis in patients with umbilical lesions associated with menstrual cycle pain.


REFERENCES

  1. Fernandes H, Marla NJ, Pailoor K, Kini R. Primary umbilical endometriosis - Diagnosis by fine needle aspiration. J Cytol. 2011;28:214-6.

  2. Boesgaard-Kjer D, Boesgaard-Kjer D, Kjer JJ. Primary umbilical endometriosis (PUE). Eur J Obstet Gynecol Reprod Biol. 2016;209:44-5.

  3. González-Hinojosa J, Solano-Calvo J, Valenzuela-Ruiz P, Martínez-Gómez, et al. Endometriosis umbilical primaria. Clin Invest Gin Obst. 2013;40(5):227-230.

  4. Veiga M, Míguez V, Rodríguez S, Mosquera MT, Calaza M, M-P-Mendaña J. Endometriosis umbilical. Prog Obstet Ginecol. 2013;56(4):213-215.

  5. Vaidya KA, Adiga P, Lakshman IK. Villar’s Nodule: A rare case report. Journal of Clinical and Diagnostic Research. 2012;6(5):881-883.

  6. Kodandapani S, Pai MV, Mathew M. Umbilical laparoscopic scar endometriosis. J Hum Reprod Sci. 2011;4:150-2.

  7. Kydd AR, Patel D, Schwarz J, Joseph D, Mitchell G, Strasswimmer JM, et al. Umbilical endometriosis mistaken for a keloid in a premenopausal woman of Caribbean descent. JAAD Case Reports. 2016;2:219-21.

  8. Fancellu A, Pinna A, Manca A, Capobianco G, Porcu A. Primary umbilical endometriosis. Case report and 2 discussion on management options. International Journal of Surgery Case Reports. 2013;4(12):1145-8.

  9. Arkoulis N, Chew B. An unusual case of asymptomatic spontaneous umbilical endometriosis treated with skinsparing excision. Journal of Surgical Case Reports. 2015;3:1-3.

  10. Loverro G, Mei L, Vicino M, Cormio G, Selvaggi L. Umbilical endometriosis. J Gynecol Surg. 2001;17(2):65-8.

  11. Pramanik SR, Mondal S, Paul S, Joycerani D. Primary umbilical endometriosis: A rarity. J Hum Reprod Sci. 2014;7:269-71.

  12. Saito A, Koga K, Osuga Y. Individualized management of umbilical endometriosis: A report of seven cases. J Obstet Gynaecol. 2014;40(1):40-45.

  13. Gin T, Gin A, Gin D, Pham A, Cahill J. Spontaneous Cutaneous Endometriosis of the Umbilicus. Case Reports in Dermatology. 2013;5:368-372.




2020     |     www.medigraphic.com