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Abstract

SECONDARY UMBILICAL ENDOMETRIOSIS, ASSOCIATED WITH PELVIC LOCALIZATION: A CASE REPORT HOSPITAL CENTER, CHU IBNO-ROCHD, CASABLANCA WING SERVICE 10, MOROCCO

Dr. S. Benkhaira*, Dr. M. Mourabbih, Dr. FZ. Madri, Pr. S. Mahdaoui, Pr. N. Samouh

ABSTRACT

Introduction: Endometriosis is defined by the presence of endometrial epithelium with stroma outside the uterine cavity, the prevalence of which is estimated at around 10% of the female population. But extragenital locations are also found in about 0.5% of cases. Observation: A 30-year-old married woman, second gesture and second parent, who presented painful umbilical swelling during menstrual cycles, associated with dyspareunia. This swelling had been evolving for six months, gradually increasing in volume to reach 2 cm long axis. A pelvic ultrasound and pelvic MRI were requested, objectifying the presence of an endometriotic localization at the level of Douglas' cul de sac Comments: Endometriosis is characterized by the presence of functional endometrial tissue outside the uterine cavity. Skin involvement is very rare and represents only 0.5 to 1% in the different series. The isolated umbilical location is exceptional and often unrecognized. The treatment of choice is surgical, it consists of an omphalectomy with an exploration of the abdomino-pelvic cavity allowing other locations to be sought. Medical treatment with danazol or LHRH analogues is recommended before surgery, it would reduce the size of the endometriotic nodule. Local recurrence after complete surgical excision is rare. For our patient, surgical excision was performed without any recurrence reported with a follow-up of 1 year.

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