title: Catamenial Pain in Umbilical Hernia with Spontaneous Reduction: An Unusual Presentation of a Rare Entity.
abstract: Spontaneous umbilical endometriosis occurring in absence of any previous abdominal or uterine surgery is extremely atypical. Its association with umbilical hernia is very rare and hernia getting spontaneously resolved has not been reported in literature so far. Here we report a case of a patient with spontaneous umbilical endometriosis associated with umbilical hernia which led to spontaneous hernia reduction. This was also associated with multiple uterine fibromyoma and bilateral ovarian endometrioma which were simultaneously treated by total abdominal hysterectomy with bilateral salpingo-oopherectomy along with surgical excision of the endometriotic tissue and repair of the abdominal wall defect. To the best of our knowledge, this is the first described case of spontaneous umbilical hernia reduction due to development of endometriosis.
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, NDMC Medical College, Hindu Rao Hospital , Delhi, India .
authors.forename: Divya
authors.initials: D
authors.lastname: Pandey
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynaecology, NDMC Medical College, Hindu Rao Hospital , Delhi, India .
authors.forename: Ritu
authors.initials: R
authors.lastname: Sharma
authors.affiliation: Professor and Unit Head, Department of Obstetrics and Gynaecology, NDMC Medical College, Hindu Rao Hospital , Delhi, India .
authors.forename: Sudha
authors.initials: S
authors.lastname: Salhan
keywords: Hernia reduction; Primary umbilical endometriosis; Primary umbilical hernia; Villar’s Nodule