Primary umbilical endometriosis: Radical excision (omphalectomy) and laparoscopic management of associated pelvic endometriosis in a low resource tertiary hospital
), Olajide A. Akintobi(2), Abdulkarim O. Musa(3), Charles N. Nzurumike(4), Umoru F. Mohammed(5), Ojochide S. Ebune(6), Oluwaseyi O. Fadahunsi(7), Daniel I. Awelimobor(8), Kikelomo T. Adesina(9), Aisha N. Adamu(10), Olayinka Amode(11), Samuel C. Obinwanne(12),
(1) Department of Obstetrics and Gynaecology (Fertility and Minimal Access Surgery Unit), Federal Medical Center, Lokoja,
(2) Department of Obstetrics and Gynaecology, Asokoro District Hospital, Abuja, Nigeria
(3) Department of Obstetrics and Gynaecology (Fertility and Minimal Access Surgery Unit), Federal Medical Center, Lokoja,
(4) Department of Obstetrics and Gynaecology (Fertility and Minimal Access Surgery Unit), Federal Medical Center, Lokoja,
(5) Department of Obstetrics and Gynaecology (Fertility and Minimal Access Surgery Unit), Federal Medical Center, Lokoja,
(6) Department of Surgery (Plastic and Reconstructive Surgery Unit), Federal Medical Center, Lokoja, Nigeria
(7) Department of Histopathology and Morbid Anatomy, Federal Medical Center, Lokoja, Nigeria
(8) Department of Histopathology and Morbid Anatomy, Federal Medical Center, Lokoja, Nigeria
(9) Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital/University of Ilorin, Ilorin, Nigeria
(10) Department of Obstetrics and Gynaecology, Federal Medical Center, Birnin Kebbi, Nigeria
(11) Department of Obstetrics and Gynaecology (Fertility and Minimal Access Surgery Unit), Federal Medical Center, Lokoja, Nigeria
(12) Department of Obstetrics and Gynaecology (Fertility and Minimal Access Surgery Unit), Federal Medical Center, Lokoja, Nigeria
Corresponding Author
Abstract
Primary umbilical endometriosis (PUE) is a rare condition affecting 0.5 – 1% of all extragenital endometriosis cases. We reviewed the data of five women with umbilical endometriosis retrospectively. The age range was 29 – 46 years, and they were all nulligravid at presentation. Common clinical presentation was umbilical pain and masses, dysmenorrhea, and primary infertility. Radical umbilical excision was performed to remove the nodule as a definitive treatment. Diagnostic laparoscopy was performed, followed by varying degrees of operative laparoscopic procedures. They all had endometriosis in the pelvis. Three out of five women operated became pregnant and had live births. Complete resolution of clinical symptoms with a reduction in umbilical and menstrual pain scores occurred. In resource-constrained settings, diagnosis, and treatment of PUE may be challenging. Clinical suspicion and appropriate case management are critical for good reproductive outcomes and quality of life. (Afr J Reprod Health 2021; 25[4]: 167-173).
References
Theunissen CI and IJpma FF. Primary umbilical
endometriosis: a cause of a painful umbilical nodule. J Surg Case Rep. 2015; (3) 1 – 3.: rjv025.doi.101093/jscr/rjv025.
Ikechebelu JI, Eleje GU, Okafor CD and Akintobi AO.
Endometriosis Seen at Diagnostic Laparoscopy for Women with Infertility. J Gynecol Res Obstet. 2015;1(1): 006-009.
Farquhar C: Endometriosis. BMJ. 2007; 334: 249 –
doi: 10.1136/bmj.39073.736829.BE.
Frischknecht F, Raio L, Fleischmann A, Dreher E,
Luscher, KP and Mueller MD. Umbilical endometriosis. Surg Endosc. 2004; 18: 345– 349. DOI: 10.1007/s00464-003-4245-6.
Ata B, Ates U, Usta T and Attar E. Cervical
endometriosis, a case presenting with intractable spotting. Med Gen Med. 2005;7(2):64.PMC1681587
Franklin RR and Grunert GM. Extragenital
endometriosis. In: Nezhat CR, ed. Endometriosis: advanced management and surgical techniques. New York: Springer-Verlag, 1995:127–36.
Ghosh A and Das S. Primary umbilical endometriosis: a
case report and review of literature. Arch Gynecol Obstet. 2014; 290:807 – 809. doi: 10.1007/s00404-014-3291-8.
Skidmore RA, Woosley JT and Katz VL. Decidualized
umbilical endometriosis. Int J Gynecol Obstet. 1996; 52:269 – 273. doi: 10.1016/0020-7292(95)02612-6.
Blanco RG, Parithivel VS, Shah AK, Gumbs MA,
Scheinz M and Gerst PH. Abdominal wall endometriomas. Am J Surg 2003; 185:596 – 598. DOI:
1016/s0002-9610(03)00072-2.
Sevdel AV, Sickle SJ, Warner EA and Sax HC. Extra-
pelvic endometriosis: Diagnosis and treatment. Am J Surg 1993;177: 243 – 246.
Meti S and Weiner JJ. Scar endometriosis: A diagnostic
dilemma. Eur Clin Obstet Gynaecol 2006; 2:62 – 64.
Chrysostomou A, Branch SJ and Myamya NE. Primary
umbilical endometriosis: To scope or not to scope. S Afr J Obstet Gynaecol 2017; 23(3): 89 – 92. DOI:10.7196/SAJOG. 2017.v23i2.1220.
Victory R, Diamond MP and Johns DA. Villar's nodule:
A case report and systematic literature review of endometriosis externa of the umbilicus. JMIG 2007; 14(1), 23 – 32. https://doi.org/10.1016/j.jmig.2006.07.014.
Malebranche AD and Bush K. Umbilical endometriosis:
A rare diagnosis in plastic and reconstructive surgery. Can J Plast Surg. 2010;18(4):147 – 148. PMC3006115
Krantz AM, Dave AA and Margolin DJ. A Case of
Umbilical Endometriosis: Villar’s Nodule. Cureus 2016; 8(12): e926. DOI 10.7759/cureus.926.
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