European Journal of Biomedical and Pharmaceutical Sciences

PRIMARY UMBILICAL ENDOMETRIOSIS: A RARE ENTITY

Dr. Jyoti Sharma, *Dr. Shikha Sharma, Dr. Gagan Acharya and Dr. Molly Sharma

ABSTRACT

Primary umbilical endometriosis is a rare condition and characterized by presence of ectopic endometrial tissue in umbilicus in absence of previous surgery. We report a case of spontaneous umbilical endometriosis in a 40-year-old lady with previous 3 normal deliveries and without any previous pelvic endometriosis. Clinical diagnosis was based on the observation of a tender bluish umbilical nodule with cyclical pain coinciding with the menstruation. Ultrasonography followed by FNAC was done for diagnosis. She was put on medical management but since there was no relief, surgical resection of the umbilical lesion was performed, revealing extragenital endometriosis. Abdominal wall endometriosis (AWE) often is misdiagnosed and referred to surgeons for treatment. Umbilical endometriosis is a very rare disease, but should be considered in the differential diagnosis of umbilical lesions.

Keywords: Umbilical endometriosis; Primary; Umbilical nodule; Wide excision.