Ao X, Xiong W, Tan SQ. Laparoscopic umbilical trocar port site endometriosis: A case report. World J Clin Cases 2020; 8(8): 1532-1537 [PMID: 32368547 DOI: 10.12998/wjcc.v8.i8.1532]
Corresponding Author of This Article
Wei Xiong, MD, PhD, Associate Chief Physician, Department of Obstetrics and Gynecology, West China Second University Hospital, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, No. 20, Section 3, South Renmin Road, Wuhou District, Chengdu 610041, Sichuan Province, China. axsj1113@163.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 26, 2020; 8(8): 1532-1537 Published online Apr 26, 2020. doi: 10.12998/wjcc.v8.i8.1532
Laparoscopic umbilical trocar port site endometriosis: A case report
Xue Ao, Wei Xiong, Shi-Qiao Tan
Xue Ao, Wei Xiong, Shi-Qiao Tan, Department of Obstetrics and Gynecology, West China Second University Hospital, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu 610041, Sichuan Province, China
Author contributions: Ao X was responsible for the data collection and drafting of the manuscript; Xiong W and Tan SQ were responsible for critical revision of the manuscript; all authors read and approved the final manuscript.
Informed consent statement: Informed consent to publish this paper was obtained from the patient.
Conflict-of-interest statement: The authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Wei Xiong, MD, PhD, Associate Chief Physician, Department of Obstetrics and Gynecology, West China Second University Hospital, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, No. 20, Section 3, South Renmin Road, Wuhou District, Chengdu 610041, Sichuan Province, China. axsj1113@163.com
Received: January 19, 2020 Peer-review started: January 19, 2020 First decision: February 26, 2020 Revised: March 9, 2020 Accepted: April 10, 2020 Article in press: April 10, 2020 Published online: April 26, 2020 Processing time: 95 Days and 21.7 Hours
Abstract
BACKGROUND
Abdominal wall endometriosis can occur secondary to gynecological and obstetric pelvic laparotomy; however, this is a rare clinical event. There are few cases of endometriosis involving the incision site of a laparoscopic surgery, especially for those of the endometrial nodule at the umbilical trocar port site where the camera is placed.
CASE SUMMARY
We describe the case of a 37-year-old woman who presented with a 2-year history of a tough swelling below the umbilicus, which presented periodical pain during menstruation. The patient had undergone laparoscopic ovarian cystectomy 4 years prior, and we theorized that the umbilical nodule was a complication of that laparoscopic surgery. Histological analysis confirmed the diagnosis of abdominal umbilical scar endometriosis secondary to previous laparoscopic surgery. Surgical removal of the nodule followed by three cycles of leuprorelin was curative.
CONCLUSION
Abdominal mass and pain in women of childbearing age with a previous history of pelvic surgery should support consideration of endometriosis at the surgical site.
Core tip: Incisional endometriosis after laparoscopy is very rare, and if occurring, it is often seen in the cannula incision of that collected specimen. In our patient, incisional endometriosis occurred in the umbilical cannula incision, which was not the cannula incision from which the specimen was taken out of. We also review the published literature and summarize the characteristics, differential diagnosis, and treatment of umbilical endometriosis.
