부산대학교 도서관

Primary umbilical endometriosis (PUE) is a rare condition affecting 0.5 - 1% of all extragenital endometriosis cases. We reviewed the data of five women with umbilical endometriosis retrospectively. The age range was 29 - 46 years, and they were all nulligravid at presentation. Common clinical presentation was umbilical pain and masses, dysmenorrhea, and primary infertility. Radical umbilical excision was performed to remove the nodule as a definitive treatment. Diagnostic laparoscopy was performed, followed by varying degrees of operative laparoscopic procedures. They all had endometriosis in the pelvis. Three out of five women operated became pregnant and had live births. Complete resolution of clinical symptoms with a reduction in umbilical and menstrual pain scores occurred. In resource-constrained settings, diagnosis, and treatment of PUE may be challenging. Clinical suspicion and appropriate case management are critical for good reproductive outcomes and quality of life. (Afr J Reprod Health 2021; 25[4]: 167-173). Keywords: Umbilical endometriosis, umbilical nodule, umbilical bleeding, infertility, reproductive outcome, quality of life L'endometriose ombilicale primaire (PUE) est une maladie rare affectant 0,5 a 1 % de tous les cas d'endometriose extragenitale. Nous avons examine les donnees de cinq femmes atteintes d'endometriose ombilicale retrospectivement. La tranche d'age etait de 29 a 46 ans, et ils etaient tous nulligravides a la presentation. Le tableau clinique commun etait la douleur et les masses ombilicales, la dysmenorrhee et l'infertilite primaire. Une excision ombilicale radicale a ete realisee pour retirer le nodule comme traitement definitif. La laparoscopie diagnostique a ete realisee, suivie de divers degres de procedures laparoscopiques operatoires. Ils avaient tous une endometriose du bassin. Trois femmes operees sur cinq sont tombees enceintes et ont eu des naissances vivantes. Une resolution complete des symptomes cliniques avec une reduction des scores de douleur ombilicale et menstruelle s'est produite. Dans les milieux a ressources limitees, le diagnostic et le traitement du PUE peuvent etre difficiles. La suspicion clinique et une prise en charge appropriee des cas sont essentielles pour de bons resultats en matiere de reproduction et une bonne qualite de vie. (Afr J Reprod Health 2021; 25[4]: 167-173). Mots-cles: Endometriose ombilicale, nodule ombilical, saignement ombilical, infertilite, resultat reproductif, qualite de vie
Introduction Endometriosis is a benign gynaecologic condition defined by endometrial glands and stroma outside the uterus (1). It affects 6 to 10% of women of reproductive age, with higher rates [...]