Primary Umbilical endometriosis - case series and review of clinical presentation, diagnosis and management.

Autor:	Bindra V; Department of Obstetrics and Gynaecology, Apollo Hospital, Hyderabad, India. Electronic address: vimee.bindra@gmail.com., Sampurna S; Department of Obstetrics and Gynaecology, Apollo Hospital, Hyderabad, India., Kade S; Department of Obstetrics and Gynaecology, Sunrise Hospitals, Solapur, India., Mohanty GS; Department of Obstetrics and Gynaecology, Apollo Hospital, Hyderabad, India., Madhavi N; Madhavi Scan Centre, Hyderabad, India., Swetha P; Department of Obstetrics and Gynaecology, Apollo Hospital, Hyderabad, India.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2022 May; Vol. 94, pp. 107134. Date of Electronic Publication: 2022 Apr 30.
DOI:	10.1016/j.ijscr.2022.107134
Abstrakt:	Introduction: Umbilical endometriosis is the most common cutaneous form and is seen mostly secondary to surgical scar and rarely occurs as primary umbilical endometriosis. The objective of this retrospective case series evaluation is to report the presentation, diagnosis, and management of patients with primary umbilical endometriosis. Presentation of Cases: We present a retrospective, observational and descriptive review of cases presenting with primary umbilical endometriosis among Indian women managed in two private tertiary care centres between 2018 and 2020. Patients were assessed at the gynaecological outpatient department. We analysed age, parity, presenting symptoms and duration, associated symptoms, imaging, size of the lesion, associated pelvic endometriosis or any pelvic pathology, management, and histopathological diagnosis for confirmation in all four patients. Discussion: The patients were aged between 25 and 31 years with an average of 28 years with no previous history of any abdominal surgeries. The mean duration of the symptoms presented in these cases was 25.5 months, with a range from 18 to 48 months. The diagnosis was made by clinical examination supported by imaging followed by complete surgical excision and confirmation on histopathology. Conclusion: Primary umbilical endometriosis is a rare disease with a limited number of cases reported in the literature and should be included in the differential diagnosis if women present with umbilical lesions with cyclical pain. Diagnosis is clinical but can be aided by high resolution imaging such as Ultrasound (US) and Magnetic Resonance Imaging (MRI). Complete surgical excision is the treatment of choice. (Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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