Batista Mariana, Alves Francisca, Cardoso José, Gonçalo Margarida
Department of Dermatology. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
Department of Dermatology. Centro Hospitalar e Universitário de Coimbra. Coimbra. Department of Dermatology. Faculty of Medicine. University of Coimbra. Coimbra. Portugal.
Acta Med Port. 2020 Apr 1;33(4):282-284. doi: 10.20344/amp.10966.
Endometriosis is a chronic disorder characterized by the presence of ectopic functional endometrial tissue outside the uterine cavity and which affects about 10% of all women of reproductive age. Cutaneous endometriosis, usually localized in the abdominal wall, is a rare entity. We report the case of a nulliparous woman with an acute painful umbilical nodule that slowly increased in size during the days prior to observation. The lesion was surrounded by a painful periumbilical subcutaneous plaque. The patient denied associated constitutional symptoms and reported two similar episodes in the previous two years. A skin biopsy was performed, and histopathologic examination was consistent with the diagnosis of endometriosis. This article reviews this disease particularly rare in nulliparous and highlights the importance of recognizing this clinical presentation of endometriosis due to its frequent association with pelvic disease that can lead to reduced fertility.
子宫内膜异位症是一种慢性疾病，其特征是子宫腔外存在异位功能性子宫内膜组织，影响约10%的育龄妇女。皮肤子宫内膜异位症通常位于腹壁，是一种罕见的病症。我们报告一例未生育女性病例，该患者有一个急性疼痛性脐部结节，在观察前几天其大小缓慢增加。病变周围有一个疼痛性脐周皮下斑块。患者否认有相关的全身症状，并报告在过去两年中有两次类似发作。进行了皮肤活检，组织病理学检查结果与子宫内膜异位症的诊断一致。本文回顾了这种在未生育女性中特别罕见的疾病，并强调了认识这种子宫内膜异位症临床表现的重要性，因为它常与盆腔疾病相关，可导致生育能力下降。
