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Affiliation(s)

Department of Surgery, Ibn Tofail Hospital, Mohamed the VI University Hospital, Faculty of Medicine and Pharmacy, Cadi Ayad University, Marrakech 40000, Morocco

ABSTRACT

Umbilical endometriosis accounts for 0.5%-1% of all extrapelvic endometriosis. It is usually secondary to surgery involving the umbilicus; primary nodules “Villar’s nodule” are very rare. We report a case report of endometriosis graft on umbilical scar secondary to open surgery. A 41-year-old healthy parous patient with past history: cesarean of the last child birth 6 years ago. § three years after, she was operated for linea alba hernia. One year after, she presented with a swelling painful umbilicus nodule, recently, which gradually has been evolving and associated with cyclical umbilical pain. Clinical examination at admission: umbilicus nodule 12mm, painful to the touch, irreducible, which could not be reduced by gentle digital pressure. Ultrasound and CT (computerized tomography) scan: parietal tissue mass of 12mm/8mm without intraperitoneal continuity. The surgical treatment consisted of wide local nodule excision. The histopathological examination confirmed the diagnosis. The patient was referred for further investigation to gynecology department where she underwent a hysterectomy for uterine adenomyosis.

KEYWORDS

Incisional site, endometriosis, reproductive age, cutaneous endometriosis, cyclic pain.

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