Umbilical Hernia as Forerunner of Primary Umbilical Endometriosis: A Case ReportSaunri Hansadah1, Jasmina Begum1, Pankaj Kumar2, Sweta Singh1, Deepthy Balakrishnan1, Anirban Kundu31All India Institute of Medical Sciences, Department of Obstetrics and Gynecology, Bhubaneswar, India
2All India Institute of Medical Sciences, Department of General Surgery, Bhubaneswar, India
3All India Institute of Medical Sciences, Department of Pathology, Bhubaneswar, India
Umbilical endometriosis is a type of cutaneous endometriosis that usually follows laparoscopic or surgical procedures that involve the umbilicus. Primary umbilical endometriosis (PUE) is an extremely rare condition and its association with an umbilical hernia is an equally rare condition. To date, only very few cases of PUE with umbilical hernia association have been reported in the medical literature. Report herein is a case of PUE associated with an umbilical hernia who presented with classical umbilical nodule symptoms with cyclical pain and bleeding due to menstruation. The patient underwent omphalectomy with abdominal wall defect repair using prosthetic mesh. The diagnosis was confirmed by histopathological examination of the excised umbilical nodule. This case report highlights a rare entity that should be considered as a differential diagnosis in females of the reproductive age group that presents with the umbilical nodule. Keywords: Primary umbilical endometriosis, umbilical hernia, omphalectomy
Primer Umbilikal Endometriozisin Öncüsü Olan Bir Umblikal Herni: Olgu SunumuSaunri Hansadah1, Jasmina Begum1, Pankaj Kumar2, Sweta Singh1, Deepthy Balakrishnan1, Anirban Kundu31All India Medical Sciences, Department of Obstetrics and Gynecology, Bhubaneswar, India
2All India Institute of Medical Sciences, Department of General Surgery, Bhubaneswar, India
3All India Institute of Medical Sciences, Department of Pathology, Bhubaneswar, India
Umbilikal endometriozis, genellikle umbilikus içeren laparoskopik veya cerrahi prosedürleri takip eden bir kutanöz endometriozis türüdür. Primer umbilikal endometriozis (PUE) son derece nadir bir durumdur ve PUE ile umblikal herni birlikteliği de aynı derecede nadir bir durumdur. Tıp literatüründe bugüne kadar umblikal herni ile ilişkili çok az sayıda primer umblikal endometriozis vakası bildirilmiştir. Biz burada, umbilikal nodülün klasik semptomları olan ve menstrüasyona bağlı döngüsel ağrı ve kanama ile başvuran umbilikal herni ile ilişkili bir PUE olgusunu sunuyoruz. Hastamıza, protez ağ kullanılarak karın duvarı defekt onarımı ile omfalektomi yapıldı. Eksize edilen umblikal nodülün histopatolojik incelemesi ile tanı doğrulandı. Bu olgu sunumu umbilikal nodül ile başvuran üreme çağındaki kadınlarda ayırıcı tanı olarak düşünülmesi gereken nadir bir durumu vurgulamaktadır. Anahtar Kelimeler: Primer umbilikal endometriozis, umbilikal herni, omfalektomi
Saunri Hansadah, Jasmina Begum, Pankaj Kumar, Sweta Singh, Deepthy Balakrishnan, Anirban Kundu. Umbilical Hernia as Forerunner of Primary Umbilical Endometriosis: A Case Report. Medeniyet Med J. 2021; 36(4): 348-351
Corresponding Author: Jasmina Begum, India |
|