Revista Brasileira de Cirurgia Plástica (Sep 2018)

Umbilical endometriosis: a case report and literature review

  • Carla Batista Moisés,
  • Amanda Morais Gonçalves,
  • Andressa Camargo Vieira,
  • Anaísa Renata Michelino,
  • Bruna Andrade Assunção,
  • Aluízio Del Bianco Maia,
  • Arelly Bethânia Fonseca Barbosa,
  • André Abrantes Rosique,
  • Gustavo Nero Mitsuushi

DOI
https://doi.org/10.5935/2177-1235.2018RBCP0160
Journal volume & issue
Vol. 33, no. 03
pp. 433 – 436

Abstract

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Endometriosis is characterized by the presence of endometrial tissue outside the uterine cavity. The pathophysiology of this condition is poorly understood. However, several hypotheses have been proposed, including the spread of endometrial cells via hematogenous or lymphatic routes. The clinical presentation is variable but includes a palpable nodule, cyclic bleeding, and changes in the color of the skin in the affected region. Diagnosis is established by clinical examination combined with imaging and lesion biopsy. The treatment of choice is surgical, with excision of the lesion and tissue reconstruction. We report the case of a 35-year-old female patient with umbilical endometriosis and the need for removal of the lesion with umbilical reconstruction. The presentation of this condition determines the diagnostic and management approach. Therefore, the exclusion of other benign or malignant disorders is essential.

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