Abstract
Primary endometriosis of the umbilicus, Villars nodule, rarely occurs. It is characterized
by a discolored change in the umbilicus which manifests itself with cyclic menstrual-related
symptoms such as pain, swelling and bleeding. Often the diagnosis is based on objective
findings, but imaging and histology predicts and verify the diagnosis. Radical excision
is performed with good results. We present ten cases with primary umbilical endometriosis
and present the referral pattern dominated by primary referral to the gastro-surgeon
reflecting difficulties in finding the right diagnosis.
Abbreviations:
EM (endometriosis), TV-ULS (transvaginal ultrasound), PUE (primary umbilical endometriosis), FNAC (fine needle aspiration cytology), GA (general anesthesia), LA (local anesthesia), US (ultrasound), MRI (magnetic resonance imaging), GnRH (Gonadotropin-Releasing Hormone)Keywords
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Article info
Publication history
Published online: June 18, 2016
Accepted:
May 13,
2016
Received in revised form:
May 10,
2016
Received:
February 25,
2016
Identification
Copyright
© 2016 Elsevier Ireland Ltd. All rights reserved.
