Endometriosis of the umbilical ring
https://doi.org/10.51523/2708-6011.2023-20-2-18
Abstract
Objective. To present a clinical case of diagnosis and surgical treatment of one of the forms of extragenital endometriosis – umbilical ring endometriosis.
Materials and methods. A clinical case of patient M., 33 years old, female, with diagnosed and operated endometrial heterotopia in the projection of the soft tissues of the umbilical region.
Results. The probable role of the migration theory of the pathogenesis of endometriosis is demonstrated due to the lack of a history of surgical treatment in this area.
Conclusion. The migration theory of the pathogenesis of endometriosis can be explained by the mechanism of retrograde penetration of endometrial cells through blood and/or lymphatic vessels from the pelvic cavity.
About the Authors
A. S. YakovenkoBelarus
Alexey S. Yakovenko, Oncologist
Gomel
K. L. Murashko
Belarus
Konstantin L. Murashko, Candidate of Medical Sciences,
Radiologist
Gomel
V. N. Belyakovsky
Belarus
Vasily N. Belyakovsky, Doctor of Medical Sciences,
Professor, Professor of the Department of Oncology
Gomel
E. P. Yakovenko
Belarus
Elena P. Yakovenko, Obstetrician-Gynecologist
Gomel
References
1. Lukac S, Schmid M, Pfister K, et. all. Extragenital Endometriosis in the Differential Diagnosis of Non — Gynecological Diseasses. Dtsch Arztebl Int. 2022;119(20):361-367. DOI: https://doi.org/10.3238/arztebl.m2022.0176
2. García JS, Martínez EL, González TR, et all. Infiltrating endometriosis: diagnostic keys in abdominal ultrasonography. Radiologia (Engl Ed). 2021;63(1):32-41. DOI: https://doi.org/10.1016/j.rx.2020.09.007
3. Baldi A, Campioni M, Signorile PG. Endometriosis: Pathogenesis, diagnosis, therapy and association with cancer. Oncol Rep. 2008;19(4):843-846. DOI: https://doi.org/10.3892 / OR.19.4.843
4. Zollner U, Girschick G, Steck T, Dietl J. Umbilical endometriosis without previous pelvic surgery: a case report. Arch Gynecol Obstet. 2003;267:258-260. DOI: https://doi.org/10.1007 / s00404-002-0438-9
5. Reimer M, Ravndal С.M. Umbilikal endometriose. Tidsskr Nor Laegeforen. 2022;26:142(13). DOI: https://doi.org/10.4045/tidsskr.22.0126
6. Pallavi VB, Mamdouh MG. Menstruating from the umbilicus as a rare case of primary umbilical endometriosis: a case report. J Med Case Reports.2009;3:9326. DOI: https://doi.org/10.1186 / 1752-1947-3-9326
7. Ploteau S, Malvaux V, Draguet AP. Primary umbilical adenomyotic lesion presenting as cyclical periumbilical swelling. Fertil Steril. 2007;88(6):1674-1675. DOI: https://doi.org/10.1016/j.fertnstert.2007.03.091
8. Al-Quorain SA, Al-Yahya TA. Primary Umbilical Endometriosis: Case Report with Literature Review. Saudi J Med Med Sci. 2017;5(1):74-76. DOI: https://doi.org/10.4103/1658-631X.194259
9. Jaramillo-Cardoso A, Balcacer P, Garces-Descovich A. Multimodality imaging and clinicopathologic assessment of abdominal wall endometriosis: knocking down the enigma. Abdom Radiol (NY). 2018;45(6):1800-1812. DOI: https://doi.org/10.1007/s00261-018-1666-1
10. Hartigan CM, Holloway BJ. Case report: MR imaging features of endometriosis at the umbilicus. Br J Radiol. 2014;78:755-757. DOI: https://doi.org/10.1259/bjr/68622762
11. Lagana AS, Garzon S, Götte M, Vigano P, et all. The Pathogenesis of Endometriosis. Molecular and Cell Biology Insights. Int J Mol Sci. 2019;20(22):5615. DOI: https://doi.org/10.3390/ijms20225615
12. Lee A, Tran HT. Cutaneous endometriosis. Dermatol Online J 2008;14(10):23. DOI: https://doi.org/10.5070/D34jr4n5zg
13. Nirula R, Greaney GC. Incisional endometriosis: an underappreciated diagnosis in general surgery. J Am Coll Surg. 2000;190(4):404-407. DOI: https://doi.org/10.1016/ s1072-7515(99)00286-0
14. Dong Y, Braden B, Klinger C. Ultrasound findings in extragenital endometriosis. J Ultrason. 2018;18(74):247-254. DOI: https://doi.org/10.15557/JoU.2018.0036
15. Makena D, Obura T, Mutiso S, Oindi F. Umbilical endometriosis: a case series. J Med Case Rep. 2020 Sep 7;14(1):142. DOI: https://doi.org/10.1186/s13256-020-02492-9
16. Ozkol M, Yoleri L, Demir MA, Demireli P, Pabuscu Y. The significance of venous dominance in color Doppler ultrasound for the diagnosis of primary nodular skin lesions: a new perspective in classification. Clin Imaging. 2005;30:43-47. DOI: https://doi.org/10.1016/j.clinimag.2005.07.029
17. Filho JP, M Leão R, V. Horvat N, et all. What abdominal radiologists should know about extragenital endometriosis-associated neuropathy. Abdom Radiol (NY). 2020;45(6):1818-1828. DOI: https://doi.org/10.1007/s00261-018-1864-x
Review
For citations:
Yakovenko A.S., Murashko K.L., Belyakovsky V.N., Yakovenko E.P. Endometriosis of the umbilical ring. Health and Ecology Issues. 2023;20(2):141-145. (In Russ.) https://doi.org/10.51523/2708-6011.2023-20-2-18