Two cases of surgery for umbilical endometriosis

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  • FUKUDA Hisato
    Department of Obstetrics and Gynecology, Kansai Medical University Hospitall
  • HISAMATSU Youji
    Department of Obstetrics and Gynecology, Kansai Medical University Hospitall
  • IKOMA Yohei
    Department of Obstetrics and Gynecology, Kansai Medical University Hospitall
  • KIDO Takeharu
    Department of Obstetrics and Gynecology, Kansai Medical University Hospitall
  • MURATA Hiromi
    Department of Obstetrics and Gynecology, Kansai Medical University Hospitall
  • MIZOKAMI Tomomi
    Department of Obstetrics and Gynecology, Kansai Medical University Hospitall
  • KITA Masato
    Department of Obstetrics and Gynecology, Kansai Medical University Hospitall
  • OKADA Hidetaka
    Department of Obstetrics and Gynecology, Kansai Medical University Hospitall

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Other Title
  • 臍部子宮内膜症に対して手術を行った2例
  • サイブ シキュウ ナイマクショウ ニ タイシテ シュジュツ オ オコナッタ 2レイ

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Abstract

<p>Umbilical endometriosis is a relatively rare disease, and radical cure with drug therapy is difficult. Surgery is often required, but appropriate methods have not been established. Here, we report on surgical methods for two cases of umbilical endometriosis. Firstly, a 45-year-old (gravida three para two), one year ago woman underwent right adnexectomy with a midline lower abdominal incision for a 19 cm mucinous adenoma of the right ovary. A left endometriotic cyst appeared postoperatively, reaching a diameter of seven cm after 1.5 years. Painful induration in the umbilical region from the early postoperative period increased, and biopsy confirmed endometriosis. Total umbilical resection by columnar incision, single-hole laparoscopic left ovarian cystectomy, and umbilical plasty were performed. No recurrence was observed until four years and nine months. Secondly, a 38-year-old (gravida three para two) woman had a 3 cm umbilical mass which bled during menstruation. Biopsy confirmed endometriosis. Total umbilical resection by columnar incision and examination by single-hole laparoscopy and umbilical plasty were performed. No recurrence was observed until one year and seven months. Columnar incision paired with palpating induration removes skin, fat, fascia, and peritoneum as a mass without exposing the endometrial lesion. It can be combined with a single-hole laparoscope. This was considered as radical cure for umbilical endometriosis. [Adv Obstet Gynecol, 73 (3)] : 321-327, 2021 (R3.8)]</p>

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