Munkres Brittany, Espinet Melanie
College of Osteopathic Medicine, New York Institute of Technology at Arkansas State University, Jonesboro, USA.
Family Medicine, Baptist Memorial Hospital, Memphis, USA.
Cureus. 2021 Apr 17;13(4):e14538. doi: 10.7759/cureus.14538.
Endometriosis is a painful disorder that most commonly causes dysmenorrhea and pelvic pain. It is defined as endometrial glands and stroma that occur outside of the uterus. Typically the lesions are located and contained within the pelvic cavity, however it can occur at multiple sites throughout the body. Here is a 28-year-old female who presents to an outpatient family medicine clinic with endometriosis of her umbilicus. CT scan revealed a 2-cm mass protruding continually through the umbilical stalk. The mass was then resected and pathology confirmed it to be consistent with endometriosis. Umbilical endometriosis is a rather rare finding, but still likely. This case presents differently due to the fact that the patient has never had a previous history of endometriosis or associated symptoms. The most likely suspected mechanism of the umbilical endometriosis would be the laparoscopic cholecystectomy done one year prior.
子宫内膜异位症是一种疼痛性疾病，最常见的症状是痛经和盆腔疼痛。它被定义为子宫外出现的子宫内膜腺体和间质。典型的病变位于盆腔内，但也可能出现在身体的多个部位。这是一名28岁女性，因脐部子宫内膜异位症就诊于门诊家庭医学诊所。CT扫描显示一个2厘米的肿块持续通过脐茎突出。随后切除该肿块，病理证实其与子宫内膜异位症相符。脐部子宫内膜异位症是一种相当罕见的发现，但仍有可能。该病例表现不同，因为患者既往从未有过子宫内膜异位症病史或相关症状。脐部子宫内膜异位症最可能的疑似机制是一年前进行的腹腔镜胆囊切除术。
