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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.
KeywordsEndometriosis Umbilical Etiopathology Laparoscopy
- 4.Franklin, R, Navarro, C 1990Extragenital endometriosis.Chadha, DRButtran, VC eds. Current concepts in endometriosis.LissNew YorkGoogle Scholar
- 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.Munoz, H, Waxtein, L, Vega, ME, Cortes, R, Hojyo, MT, Dominguez-Soto, L 1999An ulcerated umbilical nodule.Arch Dermatol135111411151117–1118Google Scholar
- 17.Sampson, J 1927Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity.Am J Obstet Gynecol:.422469Google Scholar