Spontaneous Primary Umbilical Endometriosis Preceding Severe Pelvic Endometriosis: A Case Report

Sujata Datta

doi:10.5005/jp-journals-10006-1965

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Spontaneous Primary Umbilical Endometriosis Preceding Severe Pelvic Endometriosis: A Case Report

Sujata Datta

Citation Information : Datta S. Spontaneous Primary Umbilical Endometriosis Preceding Severe Pelvic Endometriosis: A Case Report. J South Asian Feder Obs Gynae 2021; 13 (5):337-338.

DOI: 10.5005/jp-journals-10006-1965

License: CC BY-NC 4.0

Published Online: 22-12-2021

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Abstract

Primary spontaneous umbilical endometriosis accounts for a minority of the cases of umbilical endometriosis, the incidence of which is 0.5–1% of all extragenital endometriosis. Cyclical umbilical bleeding without any accompanying symptom of pelvic endometriosis or any prior history of surgery is an extremely rare condition that throws up diagnostic challenges, in the absence of overt clinical signs. We present a case of solitary primary umbilical endometriosis, which progressed to severe grade 4 endometriosis over a span of 4 years for poor patient compliance. Imaging difficulties as well as laparoscopic challenges in therapy, especially with the insertion of the primary port in the presence of an umbilical endometriotic nodule, are also discussed.

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