• Am J Emerg Med · Jun 2014

    Case Reports

    Primary umbilical endometriosis presenting as umbilical drainage in a nulliparous and surgically naive young woman.

    • Sara Laskey and Lindsay K Kahlenberg.
    • Department of Pediatrics, Akron Children's Hospital, One Perkins Square, Akron, OH 44308, USA. Electronic address: lkahlenberg@chmca.org.
    • Am J Emerg Med. 2014 Jun 1;32(6):692.e1-2.

    AbstractEndometriosis is well known as a chronic condition associated with significant morbidity. Umbilical endometriosis, however, may go unrecognized because of its rarity, leading to multiple medical visits and a delayed diagnosis. Chronic umbilical drainage is an unusual presentation for umbilical endometriosis. Even more unusual is the development at this location in a patient without previous abdominal surgery. There are very few published case reports about primary umbilical endometriosis. A 24-year-old nulliparous African American woman presents to the emergency department with a complaint of chronic umbilical drainage of 3-year duration and undergoes a computed tomographic scan and subspecialty referral, which lead to the diagnosis of primary abdominal wall endometriosis and a new left ovary endometrioma. Although this is an unusual occurrence, it may be considered in patients with chronic umbilical drainage without other cause.

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