Advertisement

Umbilical endometriosis

  • F. Frischknecht
  • L. Raio
  • A. Fleischmann
  • E. Dreher
  • K. P. Lüscher
  • M. D. MuellerEmail author
Case report

Abstract

We report two women who presented with a recurrent, mildly painful, bluish nodule in the umbilicus. Both patients complained of local tenderness and occasional bleeding that increased during menstruation. Neither patient had had previous pelvic surgery. Excision of the lesions revealed a primary umbilical endometriosis; in one case, a simultaneous laparoscopy showed a pelvic endometriosis. We review the current literature and discuss the possible etiopathogenesis and when a laparoscopy is indicated to diagnose a concomitant pelvic endometriosis. Umbilical endometriosis is a very rare disease but should be considered in the differential diagnosis of umbilical lesions.

Keywords

Endometriosis Umbilical Etiopathology Laparoscopy 

References

  1. 1.
    Albrecht, LE, Tron, V, Rivers, JK 1995Cutaneous endometriosis.Int J Dermatol34261262PubMedGoogle Scholar
  2. 2.
    Blumenthal, NJ 1981Umbilical endometriosis. A case report.S Afr Med J59198199PubMedGoogle Scholar
  3. 3.
    Donnez, J, Van Langendonckt, A, Casanas-Roux, F, Van Gossum, JP, Pirard, C, Jadoul, P, Sqifflet, J, Smets, M 2002Current thinking on the pathogenesis of endometriosis.Gynecol Obstet Invest545258discussion 59–62CrossRefPubMedGoogle Scholar
  4. 4.
    Franklin, R, Navarro, C 1990Extragenital endometriosis.Chadha, DRButtran, VC eds. Current concepts in endometriosis.LissNew YorkGoogle Scholar
  5. 5.
    Hill, AD, Banwell, PE, Sangwan, Y, Darzi, A, Menzies-Gow, N 1994Endometriosis and umbilical swelling.Clin Exp Obstet Gynecol212829PubMedGoogle Scholar
  6. 6.
    Ichimiya, M, Hirota, T, Muto, M 1998Intralymphatic embolic cells with cutaneous endometriosis in the umbilicus.J Dermatol25333336PubMedGoogle Scholar
  7. 7.
    Igawa, HH, Ohura, T, Sugihara, T, Hosokawa, M, Kawamura, K, Kaneko, Y 1992Umbilical endometriosis.Ann Plast Surg29266268PubMedGoogle Scholar
  8. 8.
    Khetan, N, Torkington, J, Watkin, A, Jamison, MH, Humphreys, WV 1999Endometriosis: presentation to general surgeons.Ann R Coll Surg Engl81255259PubMedGoogle Scholar
  9. 9.
    Lauslahti, K 1972Malignant external endometriosis. A case of adenocarcinoma of umbilical endometriosis.Acta Pathol Microbiol Scand A23398102PubMedGoogle Scholar
  10. 10.
    Lebovic, DI, Mueller, MD, Taylor, RN 2001Immunobiology of endometriosis.Fertil Steril75110CrossRefPubMedGoogle Scholar
  11. 11.
    Michowitz, M, Baratz, M, Stavorovsky, M 1983Endometriosis of the umbilicus.Dermatologica167326330PubMedGoogle Scholar
  12. 12.
    Mueller, MD, Mazzucchelli, L, Buri, C, Lebovic, D, Dreher, E, Taylor, R 2003Epithelial neutrophil-activating peptide 78 concentrations are elevated in the peritoneal fluid of women with endometriosis.Fertil Steril79815820CrossRefPubMedGoogle Scholar
  13. 13.
    Mueller, MD, Taylor, RN 2001Angiogenesis in endometriosis.Augustin, H I-AMRogers, PAWSmith, SK eds. Vascular morphogenesis in the female reproductive system.BirkhäuserBasel245270Google Scholar
  14. 14.
    Munoz, H, Waxtein, L, Vega, ME, Cortes, R, Hojyo, MT, Dominguez-Soto, L 1999An ulcerated umbilical nodule.Arch Dermatol135111411151117–1118Google Scholar
  15. 15.
    Radman, HM 1977Endometriosis of the umbilicus.South Med J70888889PubMedGoogle Scholar
  16. 16.
    Redwine, DB 2002Was Sampson wrong?Fertil Steril78686693CrossRefPubMedGoogle Scholar
  17. 17.
    Sampson, J 1927Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity.Am J Obstet Gynecol:.422469Google Scholar
  18. 18.
    Sidani, MS, Khalil, AM, Tawil, AN, El-Hajj, MI, Seoud, MA 2002Primary umbilical endometriosis.Clin Exp Obstet Gynecol294041PubMedGoogle Scholar
  19. 19.
    Skidmore, RA, Woosley, JT, Katz, VL 1996Decidualized umbilical endometriosis.Int J Gynaecol Obstet52269273PubMedGoogle Scholar
  20. 20.
    Taylor, RN, Lebovic, DI, Mueller, MD 2002Angiogenic factors in endometriosis.Ann N Y Acad Sci95589100discussion 118, 396–406PubMedGoogle Scholar
  21. 21.
    Ueki, M 1991Histologic study of endometriosis and examination of lymphatic drainage in and from the uterus.Am J Obstet Gynecol165201209PubMedGoogle Scholar
  22. 22.
    Williams, HE, Barsky, S, Storino, W 1976Umbilical endometrioma (silent type).Arch Dermatol11214351436CrossRefPubMedGoogle Scholar
  23. 23.
    Zollner, U, Girschick, G, Steck, T, Dietl, J 2003Umbilical endometriosis without previous pelvic surgery: a case report.Arch Gynecol Obstet267258260PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • F. Frischknecht
    • 1
  • L. Raio
    • 2
  • A. Fleischmann
    • 3
  • E. Dreher
    • 2
  • K. P. Lüscher
    • 1
  • M. D. Mueller
    • 2
    Email author
  1. 1.Department of Obstetrics and GynaecologyKantonsspital Münsterlingen8596 Scherzingen, Switzerland
  2. 2.Department of Obstetrics and GynaecologyUniversity of Bern, Effingerstrasse 102, BernSwitzerland 3010
  3. 3.Institute of PathologyUniversity of Bern, Effingerstrasse 102, BernSwitzerland 3010

Personalised recommendations