Endometriosis umbilical primaria. A propósito de 6 casos

Romera-Barba, Elena; Castañer-Ramón-Llín, Juan; Pérez, Ainhoa Sánchez; Navarro-Garcia, Inmaculada; Rueda-Pérez, Juan Manuel; Maldonado, Agustín Juan Cano; Vazquez-Rojas, José Luis

doi:10.1016/j.rehah.2014.01.002

Cited by 8 publications

(5 citation statements)

References 11 publications

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“…Severe theories have been proposed, such as the migration of endometrial cells through the abdominal cavity, the lymphatic system, or embryonic remnants in the umbilical fold (e.g., the urachus and umbilical vessels); genetic predisposition; and immunologic defects [14]. Romera-Barba et al, demonstrated that the disease occurs after prolonged exposure to the metaplastic and environmental factors [15], whereas secondary UE arises on scar tissue following abdominal procedures such as laparoscopy [9,14]. The distinction between primary and secondary development of UE appears to be important for the understanding of the pathogenic mechanism of this disease form [16].…”

Section: Introductionmentioning

confidence: 99%

Umbilical Endometriosis: A Systematic Literature Review and Pathogenic Theory Proposal

Dridi

Chiaffarino

Parazzini

et al. 2022

JCM

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Umbilical endometriosis represents 30–40% of abdominal wall endometriosis and around 0.5–1.0% of all cases of endometriosis. The aim of this systematic review is to revisit the epidemiology, signs, and symptoms and to formulate a pathogenic theory based on literature data. We performed a systematic literature review using the PubMed and Embase databases from 1 January 1950 to 7 February 2021, according to the PRISMA guidelines. The review was registered at PROSPERO (CRD42021239670). Studies were selected if they reported original data on umbilical endometriosis nodule defined at histopathological examination and described as the presence of endometrial glands and/or stromal cells in the connective tissue. A total of 11 studies (10 retrospective and one prospective), and 14 case series were included in the present review. Overall, 232 umbilical endometriosis cases were reported, with the number per study ranging from 1 to 96. Umbilical endometriosis was observed in 76 (20.9%; 95% CI 17.1–25.4) of the women included in studies reporting information on the total number of cases of abdominal wall endometriosis. Umbilical endometriosis was considered a primary form in 68.4% (158/231, 95% CI 62.1–74.1) of cases. A history of endometriosis and previous abdominal surgery were reported in 37.9% (25/66, 95% CI 27.2–49.9) and 31.0% (72/232, 95% CI 25.4–37.3) of cases, respectively. Pain was described in 83% of the women (137/165, 95% CI 76.6–88.0), followed by catamenial symptoms in 83.5% (142/170, 95% CI, 77.2–88.4) and bleeding in 50.9% (89/175, 95% CI 43.5–58.2). In the 148 women followed for a period ranging from three to 92.5 months, seven (4.7%, 95% CI 2.3–9.4) recurrences were observed. The results of this analysis show that umbilical endometriosis represents about 20% of all the abdominal wall endometriotic lesions and that over two thirds of cases are primary umbilical endometriosis forms. Pain and catamenial symptoms are the most common complaints that suggest the diagnosis. Primary umbilical endometriosis may originate from implantation of regurgitated endometrial cells conveyed by the clockwise peritoneal circulation up to the right hemidiaphragm and funneled toward the umbilicus by the falciform and round liver ligaments.

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Section: Introductionmentioning

confidence: 99%

Umbilical Endometriosis: A Systematic Literature Review and Pathogenic Theory Proposal

Dridi

Chiaffarino

Parazzini

et al. 2022

JCM

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“…The objective of this study is to evaluate the clinical and epidemiological characteristics of patients with primary umbilical endometriosis, as well as the treatment employed, with a bibliographic review on the subject, since in the world medical literature only one study 4 has a series similar to ours, the remaining being case reports and literature reviews. Regarding treatment, we used the algorithm adopted in our Service for the management of patients with umbilical endometriosis (Figure 4).…”

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confidence: 99%

Primary umbilical endometriosis

Filho¹,

Santos²,

Castro³

et al. 2018

Rev. Col. Bras. Cir.

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“…Several theories have been proposed as to the pathogenesis of primary Umbilical Endometriosis these include, migration of endometrial cells through the abdominal cavity, the lymphatic system, or embryonic remnants in the Umbilical fold (e.g the Urachus and Umbilical vessels): genetic predisposition; and immunologic defects, and after prolonged exposure to the metaplastic and environmental factors. [13,14] The fact still remains that the etiology of endometriosis is not fully understood, however there are risks factors which include, family history short menstrual cycle length, and previous history of pelvic surgery or laparoscopy. [15] Recent evidence from classic and genetic epidemiology points to an association of endometriosis and uterine broids.…”

Section: Introductionmentioning

confidence: 99%

Primary Umbilical Endometriosis Coexisting with Multiple Uterine Myomas : A Rare Case Report

Nongo,

Isah

2023

Preprint

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Endometriosis and Uterine fibroids affect millions of women world-wide. Primary endometriosis is said to be very rare. The coexistence of endometriosis with uterine myomas (Ieiomyomata) has been reported in few publications. Although the aetiology and natural history of the conditions are markedly different. Symptoms can overlap and make differential diagnosis necessary, often times making use of some invasive investigative tools such as laparoscopy. The two conditions may manifest with considerable comorbities and these needs to be taken into account when treating fibroids and/or endometriosis. Yet to be fully understood are the genetic basis of these two conditions, but recent evidence suggest common underpinnings. We here by present a patient with Primary umbilical endometriosis with coexisting multiple uterine fibroids, who had radical excision (Omphalectomy) and abdominal myomectomy. To the best of our knowledge, a similar case has not been reported before.

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Endometriosis umbilical primaria. A propósito de 6 casos

Cited by 8 publications

References 11 publications

Umbilical Endometriosis: A Systematic Literature Review and Pathogenic Theory Proposal

Umbilical Endometriosis: A Systematic Literature Review and Pathogenic Theory Proposal

Primary umbilical endometriosis

Primary Umbilical Endometriosis Coexisting with Multiple Uterine Myomas : A Rare Case Report

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