Makanda Isaac H, Mushema Beata N, Chuwa Salvatory P, Chiduo Monica
Department of Obstetrics and Gynaecology, Hubert Kairuki Memorial University, Dar es Salaam, Tanzania.
East Afr Health Res J. 2023;7(2):127-130. doi: 10.24248/eahrj.v7i2.719. Epub 2023 Nov 30.
Endometriosis is characterised by endometrial tissue outside the endometrial cavity. The implantation sites may be pelvic or extrapelvic in nature. Umbilical endometriosis is a rare type of cutaneous endometriosis, accounting for 0.5-1% of extrapelvic endometriosis cases. Current literature on umbilical endometriosis is absent in the Tanzanian population.
A 30-year-old woman with prior caesarean deliveries presented with a 3-year history of umbilical swelling, cyclical pain, and menses-related bleeding. Examination revealed a firm brown umbilical lesion measuring 5×4 centimetres (cm). Wide excisional biopsy was performed. Histopathological examination confirmed endometriosis and ruled out malignancy. The postoperative follow-up revealed no signs of recurrence.
This case report highlights the need for high clinical vigilance and comprehensive differential diagnosis, especially for recurring and cyclical abdominal symptoms. Despite resource limitations, accurate diagnosis and appropriate treatment can result in the successful management of this rare condition. The report emphasises the urgency for clinicians to boost awareness, promote research, and advocate for better resources to ensure optimal patient outcomes.
子宫内膜异位症的特征是子宫内膜组织出现在子宫腔外。植入部位可能是盆腔内或盆腔外。脐部子宫内膜异位症是一种罕见的皮肤型子宫内膜异位症，占盆腔外子宫内膜异位症病例的0.5 - 1%。目前坦桑尼亚人群中关于脐部子宫内膜异位症的文献尚缺。
一名有剖宫产史的30岁女性，出现脐部肿胀、周期性疼痛和与月经相关的出血3年病史。检查发现脐部有一个坚硬的褐色病变，大小为5×4厘米（cm）。进行了广泛切除活检。组织病理学检查确诊为子宫内膜异位症并排除恶性肿瘤。术后随访未发现复发迹象。
本病例报告强调了临床高度警惕和全面鉴别诊断的必要性，特别是对于反复出现的周期性腹部症状。尽管资源有限，但准确诊断和适当治疗可成功管理这种罕见疾病。该报告强调临床医生迫切需要提高认识、促进研究并争取更好的资源，以确保患者获得最佳治疗效果。
