Primary umbilical endometriosis presenting as umbilical drainage in a nulliparous and surgically naive young woman.
Endometriosis is well known as a chronic condition associated with significant morbidity. Umbilical endometriosis, however, may go unrecognized because of its rarity, leading to multiple medical visits and a delayed diagnosis. Chronic umbilical drainage is an unusual presentation for umbilical endometriosis. Even more unusual is the development at this location in a patient without previous abdominal surgery. There are very few published case reports about primary umbilical endometriosis. A 24-year-old nulliparous African American woman presents to the emergency department with a complaint of chronic umbilical drainage of 3-year duration and undergoes a computed tomographic scan and subspecialty referral, which lead to the diagnosis of primary abdominal wall endometriosis and a new left ovary endometrioma. Although this is an unusual occurrence, it may be considered in patients with chronic umbilical drainage without other cause.
Department of Pediatrics, Akron Children's Hospital, One Perkins Square, Akron, OH 44308, USA. Electronic address: lkahlenberg@chmca.org.
Lindsay K
LK
Kahlenberg
Department of Emergency Medicine, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.
Sara
S
Laskey
D004715:Endometriosis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed; D014472:Umbilicus / Q000000981:diagnostic imaging; D055815:Young Adult