case_images: PMC11406645_01
case_images: Clinical photograph of the umbilicus showing the umbilical nodule (red arrow).
case_images: 10.1177_20363613241285148-fig1.jpg
case_images: PMC11406645_01_10.1177_20363613241285148-fig1.jpg
case_images: fig1-20363613241285148
case_images: There was a hyperpigmented dome shaped nodule that measured about 1.5 cm across the widest dimension at the left margin of the umbilicus, Figure 1.
case_images: USS oval shaped hypoechoic solid mass (blue arrows) in the left adnexium- features suggestive of pedunculated subserous myoma.
case_images: 10.1177_20363613241285148-fig2.jpg
case_images: PMC11406645_01_10.1177_20363613241285148-fig2.jpg
case_images: fig2-20363613241285148
case_images: There was an oval-shaped hypoechoic solid mass that measured 6.82 x 5.04 cm in the left adnexium that suggested pedunculated subserous myoma, Figure 2.
case_images: 3a- Local excision specimen showing a hyperpigmented dome shaped nodule (red arrow). 3b- Local excision specimen showing part of the superficial (edge) and deep resection (blue arrow) margins.
case_images: 10.1177_20363613241285148-fig3.jpg
case_images: PMC11406645_01_10.1177_20363613241285148-fig3.jpg
case_images: fig3-20363613241285148
case_images: She had local excision of the umbilical nodule, Figure 3(a) and (b).
case_images: Umbilical nodule- endometriosis. H&E X 40. 4a- Tissue lined by stratified squamous epithelium showing acanthosis with melanin incontinence (blue arrow). 4b- Endometrial gland (red arrow) surrounded by endometrial stroma (blue arrow) in the sub epidermis, showing smooth muscle cells around the endometrial glands (brown arrow). 4c- Umbilical endometriosis, H&E X 100- Showing endometrial glands (blue arrow) lined by cuboidal epithelium, surrounded by endometrial stroma (red arrow). 4days, H&E X 40- Areas of old haemorrhage with hemosiderin laden macrophages and few congested blood vessels with inflammatory cells infiltrates (brown arrow).
case_images: 10.1177_20363613241285148-fig4.jpg
case_images: PMC11406645_01_10.1177_20363613241285148-fig4.jpg
case_images: fig4-20363613241285148
case_images: Microscopy showed tissue lined by stratified squamous epithelium, endometrial glands surrounded by endometrial stroma in the sub epithelium consistent with umbilical nodule- endometriosis, Figure 4(a)-(d).