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Woman 45 yo, PARA 2002, normal spontaneous vaginal
deliveries,no cesarean operation nor history of hormonal contraception.
2 years
ago she detected her umbilicus swelling some days before her
menses and continuous pain during
the entire of her period in some times bleeding.
In clinical examination the umbilicus deformed by one mass which were bluish-black,
hard and not hot (see 2 photos).
Ultrasound findings of this mass=
US1: this mass was well bordered, localized in cavity
of navel. Structure of mass was solid, size of 2.68 cm.
US 2: in CDI, vascular supplying from peripheral
part of mass.
US 3: in elastography: hard mass in comparison to muscle.
US 4 : uterus and pelvis were not intact.
Preoperative diagnosis is primary endometriosis. Removed this tumor. See macroscopic specimen.
Preoperative diagnosis is primary endometriosis. Removed this tumor. See macroscopic specimen.
Microscopic report: ENDOMETRIOSIS.
CONCLUSION: This is a case of PRIMARY ENDOMETRIOSIS in umbilicus.
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