Case ReportEndometriotic umbilical port site metastasis after laparoscopy
Section snippets
Case report
A 40-year-old woman presented with a recent history of irregular umbilical mass and an associated severe cyclic pain during her menses. The mass was dark colored, hard, and measured 2 to 3 cm in diameter and was located on the previous laparoscopic umbilical port site scar (Figure 1). Ultrasonography of the lesion revealed a hypoechoic 29 × 21 × 26 mm lobulated lesion located at the subcutaneous tissue just below the umbilicus with intense arteriolar network image seen during Doppler
Comment
Although umbilical endometriosis is uncommonly reported, it is usually easily diagnosed because of the cyclic character of the pain it elucidates, as in our subject. Simple excision of the umbilical endometrioma is the treatment of choice.10
The histogenesis of endometriosis is still unknown, although there has been a lot of research as to its origin. In the case of an umbilical port site endometrioma, the lesion may have developed from peritoneal seeding of cells because of pneumoperitoneum or
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Cited by (14)
Endometriosis of an abdominal wall scar
2011, Imagerie de la FemmeParietal endometriosis in abdominal wall
2009, Presse MedicaleVillar's nodule: A case report and systematic literature review of endometriosis externa of the umbilicus
2007, Journal of Minimally Invasive GynecologyCitation Excerpt :A search of the Medline database (1966 to present), using the keywords “endometriosis” and “umbilicus” and the Boolean operator “and,” demonstrated 52 separate, relevant studies in the English language since 1966. Of these, 9 were excluded: 1 for umbilical deciduosis,7 1 for umbilical endosalpingiosis,8 1 case was listed twice,8 1 case was a double publication,9 2 papers contained only review material,10,11 and 3 papers were related to gynecologic malignancies in the umbilicus,12–14 leaving 43 papers for inclusion.3,4,8,15–53 Additionally, we conducted a separate search using the terms “umbilicus and endometriosis” and “umbilical and endometriosis” and combined them using the Boolean operator “or”, resulting in 73 reports when limited to “human” and “English” language articles.
Extra-pelvic endometriosis: A review
2020, Reproductive Medicine and BiologyMixed endometrioid and clear cell carcinoma arising from laparoscopic trocar site endometriosis
2019, Journal of Obstetrics and Gynaecology Research