Abstract

Extra-pelvic endometriosis is considered less common out of which umbilical endometriosis is a very rare condition (0.5%-1%)(1,3).It commonly develops secondary to surgical scars, but in few cases like this case it may present as spontaneous or primary umbilical endometriosis(4). The diagnosis of umbilical endometriosis can be mistaken for a cyst, abscess, melanoma, lipoma, suture granuloma or a deposit of systemic malignancy.(6,7) Endometriosis should be suspected in all presenting with umbilical swelling, discharge, pain and cyclical bleeding from the umbilicus. Surgical resection and repair is the preferred treatment options for umbilical endometriosis In this case report, both clinical presentation and imaging suggested that the patient had primary umbilical endometriosis. No other concomitant site of endometriosis was found in this patient. Primary umbilical endometriosis is a rare medical condition and it’s diagnosis becomes challenging. An astute judgment and clinical diagnosis is therefore required for managing such cases.

Description