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- Title
Concurrent appendiceal and umbilical endometriosis: a case report and review of the literature.
- Authors
Paramythiotis, Daniel; Stavrou, George; Panidis, Stavros; Panagiotou, Dimitris; Chatzopoulos, Kyriakos; Papadopoulos, Vasileios N; Michalopoulos, Antonios
- Abstract
<bold>Introduction: </bold>Endometriosis affects 3 to 10 percent of women of reproductive age. Most of the time it involves the pelvis; however, sites of endometriosis have been reported almost anywhere in the body. Appendiceal and primary umbilical endometriosis are considered rare loci, making accurate diagnosis elusive. Here we present the case of a 46-year-old woman with concurrent appendiceal and umbilical endometriosis.<bold>Case Presentation: </bold>A 46-year-old Greek woman presented with a large mass in the lower abdomen adhering to the surrounding organs. She reported recurrent lower abdominal and pelvic pain and the presence of a dark-blue hard nodule at the umbilicus. She had no previous medical, surgical or gynecological history. Her physical examination and laboratory test results were without any significant findings. The laparotomy revealed a fibromatose uterus adhering to the rectum and a urinary cyst and a palpable mass in the vermiform appendix. A hysterectomy and an appendectomy were performed. The umbilical mass was also excised. Pathology revealed endometriosis of the umbilicus and the appendix. The postoperative period was uneventful and she was discharged.<bold>Conclusions: </bold>Endometriosis, although rare, should always be considered in women of reproductive age, presenting with cyclic pain. The diagnosis is, most of the time, difficult and requires a high degree of clinical suspicion. The clinical doctor should be aware that endometriosis can sometimes be multifocal, thus a thorough investigation is required in all cases.
- Publication
Journal of Medical Case Reports, 2014, Vol 8, Issue 1, p258
- ISSN
1752-1947
- Publication type
journal article
- DOI
10.1186/1752-1947-8-258