Spontaneous cutaneous umbilical endometriosis: a rare variant of extragenital endometriosis

N’guessan, Kouakou Edouard; N'guessan, E.; Mian, Dehi Boston; Guié, Privat; Boni, Sara Macente

doi:10.12891/ceog17072014

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…The pathogenesis of thoracic endometriosis has been mainly explained as follows: (i) migration of pelvic endometriosis to the diaphragm [ 4 ], (ii) lung metastasis of endometriosis through blood vessels [ 21 ], and (iii) coelomic metaplasia of the epithelium in the thoracic cavity [ 22 ]. The present study revealed that disseminated endometriotic tissues invade the visceral pleura, which could support the theory that pelvic endometriosis may migrate to the diaphragm.…”

Section: Discussionmentioning

confidence: 99%

Dynamics of thoracic endometriosis in the pleural cavity

et al. 2022

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Background Thoracic endometriosis-related pneumothorax is a secondary spontaneous pneumothorax caused by thoracic endometriosis. Diaphragmatic endometriosis is well-studied, but visceral and/or parietal pleural lesions are not. Although surgery is an effective treatment, postoperative recurrence rates are unsatisfactory probably due to inadequate understanding of underlying pathophysiology. We aimed to clarify the clinicopathological features of thoracic endometriosis. Methods In total, 160 patients who underwent thoracoscopic surgery from a single institution with histopathologically proven thoracic endometriosis from January 2015 to December 2019 were included. Clinicopathological characteristics and surgical outcomes were assessed retrospectively. Results The cohort median age was 41 (range 22–53) years. Pneumothorax was right-sided in 159 (99.4%) and left-sided in only 1 (0.6%) case. Visceral and parietal pleural lesions were diagnosed in 79 (49.4%) and 71 (44.4%) patients, respectively. In total, 104 visceral pleural lesions and 101 parietal pleural lesions were detected. The S4 region and the dorsal 6th intercostal space contained the largest number of visceral pleural (66 lesions) and parietal pleural lesions (25 lesions), respectively. Histopathological evaluation revealed endometriotic tissues, existing in the outer external elastic layer in all lesions, were localized or invaded deeply. The median follow-up period was 370 (range, 6–1824) days. The Kaplan-Meier method revealed that the 1- and 2-year postoperative recurrence rates were 13.8% and 19.3%, respectively. Conclusions Visceral pleural endometriotic lesions may be disseminated from the visceral pleural surface and infiltrate into the pleura. Intraoperatively, careful observation of the specific sites, such as the visceral pleura of S4 and the parietal pleura of 6th intercostal space, is important to reduce postoperative recurrence.

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Section: Discussionmentioning

confidence: 99%

Dynamics of thoracic endometriosis in the pleural cavity

et al. 2022

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“…In total, we identified 37 reports involving 49 cases of HSH diagnosed during pregnancy ( Table 1 ). 2 , 6 , 11 – 13 , 15 – 45 The studies were case reports or small case series. Ten reports were from the USA, four from the UK, three from Turkey, two each from Spain, France and Ireland, and one in each of the following countries/regions: Nepal; China; Australia; Poland; Denmark; Romania; Columbia; Ivory Coast; Taiwan; Canada; Morocco; Ethiopia; Portugal; Germany.…”

Section: Summary Of Literature Reviewmentioning

confidence: 99%

Spontaneously ruptured huge hepatic subcapsular hematoma associated with preeclampsia: A case report and literature review

Chen,

Li,

Yang

et al. 2024

J Int Med Res

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Hepatic subcapsular hematoma (HSH) is an uncommon complication of pregnancy and is associated with elevated rates of maternal and foetal mortality. The rupture of an HSH is a critical situation that necessitates immediate and timely intervention to prevent loss of life. We present here, a case of a spontaneously ruptured massive HSH caused by preeclampsia. In addition, we conducted a comprehensive review of existing literature, encompassing 49 cases of HSH associated with pregnancy. If a pregnant woman with gestational hypertension experiences right upper abdominal pain with shoulder pain or radiating shoulder pain, it is crucial for her to have an urgent abdominal ultrasound because of the potential development of HSH and/or rupture. Our review of current literature suggests that opting for a caesarean section may offer notable advantages in preventing HSH rupture.

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“…The most common presenting symptoms were abdominal pain (occurred in 69 cases), 4,8–19,21–38,40–45,48–65 nausea (13 cases), 12,26–28,30,35,40,41,44,61,62 vomiting (9 cases), 8,26,27,30,35,40,44,62 syncope (12 cases), 8,9,12,18,30,32,52,64 and dizziness (10 cases) 15,27,31,41,58,68 …”

Section: Diagnosismentioning

confidence: 99%

“…The most common findings on initial evaluation were hypotension (occurring in 40 cases), 4,9,10,12–16,18,20,21,23–25,27–32,36,37,41,42,44,48,49,51–55,60,61,64,65,67,69 tachycardia (35 cases), 10,12,15,16,18,21,23,25,26,29–33,37,39,41,49,51–56,60,64,65,67,71 and peritoneal signs (30 cases) 9,12,18,21–26,28,33,38,41,43–45,48,49,51,52,54–58,64,65,67,68 . Other findings include severe anemia, defined as hemoglobin less than or equal to 7.0 g/dL (13 cases), 4,12,17,22,33,35,37,39,42,43,67,69,71 fetal demise (10 cases), 9,25,27,30,32,33,37,64 and fetal heart rate abnormalities (11 cases) 17–21,29,36–38,42,44,47,52,54,61,62,68 …”

Section: Diagnosismentioning

confidence: 99%

Spontaneous Uterine Vessel Rupture During Pregnancy or in the Puerperium: A Review of the Literature

Mercier¹,

Caldwell

Rabie

et al. 2022

Obstetrical &Amp; Gynecological Survey

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Importance: Spontaneous perinatal rupture of a uterine vessel is a rare occurrence that may lead to severe hemorrhage and requires prompt identification and management.Objective: The aim of this study was to examine the etiologies, locations, diagnostic tools, treatment options, and risks in subsequent pregnancies when spontaneous rupture of a uterine vessel occurs in pregnancy.Evidence Acquisition: A literature search was performed by university research librarians using the PubMed, CINAHL, and Web of Science search engines. Identified were 78 cases of perinatal spontaneous uterine vessel rupture and formed the basis for this review.Results: Increased uterine blood flow during pregnancy may alter the integrity of pelvic vessels leading to increased risk of spontaneous rupture. The uterine artery is the most common site of vessel rupture; the second most common site is the uterine-ovarian plexus. The most common presentation is abdominal or pelvic pain, maternal vital sign abnormalities, and an absence of vaginal bleeding. Exploratory laparotomy and embolization (interventional radiology) have been reported as management options.Conclusions: Spontaneous rupture of uterine vessels is a rare but potentially life-threatening complication of pregnancy that should be included in the differential diagnosis of pregnant patients presenting with an acute abdomen.Relevance: Our aim is to increase the awareness of spontaneous vessel rupture during pregnancy to improve detection, management, and perinatal outcomes.Target Audience: Obstetrician-gynecologists, radiologists, family medicine physicians Learning Objectives: After completing this CME activity, participants should be better able to describe spontaneous uterine vessel rupture; identify its risk factors and presenting symptoms; and explain preferred diagnostic imaging modalities, management options, and possible complications in future pregnancies.All authors, faculty, and staff have no relevant financial relationships with any ineligible organizations regarding this educational activity.

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Spontaneous cutaneous umbilical endometriosis: a rare variant of extragenital endometriosis

Cited by 7 publications

References 7 publications

Dynamics of thoracic endometriosis in the pleural cavity

Dynamics of thoracic endometriosis in the pleural cavity

Spontaneously ruptured huge hepatic subcapsular hematoma associated with preeclampsia: A case report and literature review

Spontaneous Uterine Vessel Rupture During Pregnancy or in the Puerperium: A Review of the Literature

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