Concurrent appendiceal and umbilical endometriosis: a case report and review of the literatureReport as inadecuate




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Journal of Medical Case Reports

, 8:258

First Online: 22 July 2014Received: 02 March 2014Accepted: 02 June 2014DOI: 10.1186-1752-1947-8-258

Cite this article as: Paramythiotis, D., Stavrou, G., Panidis, S. et al. J Med Case Reports 2014 8: 258. doi:10.1186-1752-1947-8-258

Abstract

IntroductionEndometriosis affects 3 to 10 percent of women of reproductive age. Most of the time it involves the pelvis; however, sites of endometriosis have been reported almost anywhere in the body. Appendiceal and primary umbilical endometriosis are considered rare loci, making accurate diagnosis elusive. Here we present the case of a 46-year-old woman with concurrent appendiceal and umbilical endometriosis.

Case presentationA 46-year-old Greek woman presented with a large mass in the lower abdomen adhering to the surrounding organs. She reported recurrent lower abdominal and pelvic pain and the presence of a dark-blue hard nodule at the umbilicus. She had no previous medical, surgical or gynecological history. Her physical examination and laboratory test results were without any significant findings. The laparotomy revealed a fibromatose uterus adhering to the rectum and a urinary cyst and a palpable mass in the vermiform appendix. A hysterectomy and an appendectomy were performed. The umbilical mass was also excised. Pathology revealed endometriosis of the umbilicus and the appendix. The postoperative period was uneventful and she was discharged.

ConclusionsEndometriosis, although rare, should always be considered in women of reproductive age, presenting with cyclic pain. The diagnosis is, most of the time, difficult and requires a high degree of clinical suspicion. The clinical doctor should be aware that endometriosis can sometimes be multifocal, thus a thorough investigation is required in all cases.

KeywordsEndometriosis Appendiceal endometriosis Umbilical endometriosis Concurrent endometriosis Multifocal endometriosis AbbreviationsCA-125cancer antigen 125

CTcomputed tomography

GnRHgonadotropin-releasing hormone.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-8-258 contains supplementary material, which is available to authorized users.

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Author: Daniel Paramythiotis - George Stavrou - Stavros Panidis - Dimitris Panagiotou - Kyriakos Chatzopoulos - Vasileios N Papadop

Source: https://link.springer.com/







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