PRIMARY UMBILICAL ENDOMETRIOSIS CONSERVATIVE MANAGEMENT: A RARE CASE

Abstract

Background: Endometriosis is a progressive and systemic disease defined as the presence of
endometrial tissue outside the uterine cavity. Endometriosis is mainly located in the pelvic region but
can present outside the pelvic region in areas such as the intestinal tract, lungs, thoracic, and surgical
scars. Umbilical endometriosis commonly occurs in patients who have undergone laparoscopic surgery
for endometriosis, but primary umbilical endometriosis is considered a very rare case in patients
without a history of surgery. Objective: This case report presents the possible mechanism of primary
umbilical endometriosis and its management options. Method: Case Report Results: A P1A0 33-year
old woman came to the outpatient clinic with a slowly growing nodule in her umbilicus. The lesion
will bleed and swell every time she gets her period. The symptom has occurred for approximately one
year. She has never undergone any operation in her life. Her menstruation histories are unremarkable.
We found a blackish firm nodule of 20x20mm in size from inspection and palpation. The patient was
not ready for surgery to excise the nodule. She decided to undergo conservative treatment for her
umbilical endometriosis. We gave her 2mg progestin medication a day for three months. The nodule
seems to be shrinking after three months of treatment. Conclusions: Primary umbilical endometriosis
is a scarce type of endometriosis, and progestin medication can be used as a conservative treatment in
primary umbilical endometriosis.