Elvira Brătilă1, Oana-Maria Ionescu2, Dumitru-Cristinel Badiu3, Costin Berceanu4, Simona Vlădăreanu5, Doina Mihaela Pop6, Claudia Mehedinţu2
1 Department of Obstetrics, Gynecology and Neonatology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “St. Pantelimon” Emergency Clinical Hospital, Bucharest, Romania
2 Department of Obstetrics, Gynecology and Neonatology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “Nicolae Malaxa” Clinical Hospital, Bucharest, Romania
3 Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
4 Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Romania
5 Department of Obstetrics, Gynecology and Neonatology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; “Elias” Emergency Hospital, Bucharest, Romania
6 Department of Pathology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Corresponding author: Costin Berceanu, E-mail: dr_berceanu@yahoo.c
Abstract:
Endometriosis is a gynecologic condition affecting mainly the pelvic organs. However, extrapelvic endometriosis has been reported in almost all parts of the body. Umbilical endometriosis, either primary or secondary, is uncommon and has a documented neoplastic risk. We present the case of a 46-year-old woman with a large umbilical hernia associating primary umbilical endometriosis discovered during surgery and confirmed later by pathological and immunohistochemical exams. The patient underwent omphalectomy and partial omentum resection, alongside with mesh abdominal wall repair. The patient was informed about the recurrence risk and was asymptomatic at follow-up consults.
Keywords: umbilicus, hernia, endometriosis, surgery, immunohistochemistry.
