Primary Umbilical endometriosis - case series and review of clinical presentation, diagnosis and management

Bindra, Vimee; Sampurna, Saumya; Kade, Sandesh; Mohanty, Girija Shankar; Nori, Madhavi; Swetha, P

doi:10.1016/j.ijscr.2022.107134

Cited by 4 publications

(23 citation statements)

References 16 publications

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“…There is often a hard nodular swelling between 1 and 3 cm 3,7 . The index nodule measured about 1 × 1 cm, falls well within this range.…”

Section: Discussionmentioning

confidence: 60%

“…4 Classifications vary, but the commonly used one pertains to the location of the lesions in relation to the pelvis. 3 Pelvic endometriosis is defined by all those lesions that affect the uterus, fallopian tubes, ovaries, pouch of Douglas, and bladder. Extra-pelvic endometriosis is found in the abdominal wall, intestines, appendix, liver, and lungs and has been reported in the brain.…”

Section: Discussionmentioning

confidence: 99%

“…These include granuloma, Sister Mary Joseph nodule, umbilical hernia, umbilical polyp, melanocytic naevus, keloid, and lipoma. 3,5,8,17 The diagnosis is usually made clinically and confirmed by histopathology. The overwhelming practice regarding management entailed umbilical excision and repair.…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis requires a high index of suspicion because a myriad of other lesions mimic primary UE. These include granuloma, Sister Mary Joseph nodule, umbilical hernia, umbilical polyp, melanocytic naevus, keloid, and lipoma 3,5,8,17 . The diagnosis is usually made clinically and confirmed by histopathology.…”

Section: Discussionmentioning

confidence: 99%

“…Villars nodule or umbilical endometriosis (UE) is defined by the presence of endometrial glands and stroma in the umbilicus 1,2 . It is estimated to be prevalent in less than 1% of extra‐pelvic endometriosis 3,4 . Endometrial ectopia, which characterizes endometriosis, is prevalent in 5%–20% of women in their reproductive and perimenopausal ages 5 .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Villars nodule: An incidental finding with uterine fibroids and infertility—A case report

Yambah,

Sulemana,

Avoke

et al. 2023

Clinical Case Reports

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“…There is often a hard nodular swelling between 1 and 3 cm 3,7 . The index nodule measured about 1 × 1 cm, falls well within this range.…”

Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Villars nodule: An incidental finding with uterine fibroids and infertility—A case report

Yambah,

Sulemana,

Avoke

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

Comprehensive management of umbilical endometriosis using a unique laparoscopic entry portal (Darwish point) and postoperative dienogest

Darwish,

Fathi

et al. 2023

Journal of Endometriosis and Pelvic Pain Disorders

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Umbilical endometriosis, although relatively rare, has been described with plenty of case reports and case series available in the literature. Surgical excision has been the preferred mode of treatment, with or without excision of the umbilicus. Few cases described laparoscopically assisted excision but lacked descriptions of a safe alternative non-umbilical laparoscopy entry portal, management of possible concomitant intraperitoneal lesions, and aesthetic umbilicus repair. The aim of this work is to describe a modified technique of laparoscopically assisted excision of umbilical endometriosis and treat concomitant intraperitoneal lesions via a new laparoscopic entry portal with aesthetic preservation of the umbilicus. Successful complete excision of the mass with aesthetic preservation of the umbilicus followed by 3 months of Dienogest therapy resulted in complete resolution of the mass. It is concluded that utilizing “Darwish point” for abdominal access to excise umbilical endometriosis and treat concomitant intraabdominal lesions, offers smart abdominal access with aesthetic umbilicus repair. Moreover, postoperative hormonal treatment (Dienogest) is helpful to ensure a better cure.

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Multidisciplinary management of primary umbilical endometriosis (Villar’s nodule) with coexistent uterine leiomyomata: A case report

Gang’ombe,

Mutiso,

Damtew

et al. 2024

Journal of Endometriosis and Pelvic Pain Disorders

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Introduction: Primary umbilical endometriosis, also known as Villar’s nodule, is a rare manifestation of endometriosis within the umbilicus. Case description: A 41-year-old female who presented with a 4-year history of umbilical swelling associated with cyclic umbilical bleeding, dysmenorrhoea and heavy menstrual bleeding is herewith reported. Imaging procedures revealed an umbilical mass and uterine leiomyomas. The patient underwent combined surgery by the gynaecology and plastic surgery teams where an open myomectomy followed by omphalectomy, mesh repair of the rectus sheath and panniculectomy was done. Histopathological examination confirmed the presence of estrogen and progesterone receptor-positive endometrial glands and stroma in the umbilicus consistent with primary umbilical endometriosis and coexistent uterine leiomyomas. Clinical improvement was demonstrated 3 months following the surgery. Conclusion: Umbilical swelling associated with catamenial symptoms should raise suspicion for primary umbilical endometriosis. Inter-specialty approach is key in the management of primary umbilical endometriosis.

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Primary Umbilical endometriosis - case series and review of clinical presentation, diagnosis and management

Cited by 4 publications

References 16 publications

Villars nodule: An incidental finding with uterine fibroids and infertility—A case report

Villars nodule: An incidental finding with uterine fibroids and infertility—A case report

Comprehensive management of umbilical endometriosis using a unique laparoscopic entry portal (Darwish point) and postoperative dienogest

Multidisciplinary management of primary umbilical endometriosis (Villar’s nodule) with coexistent uterine leiomyomata: A case report

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