PMC5128822_01
CT scan demonstrating the subcutaneous nodule with an underlying umbilical hernia.
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A CT scan was ordered to help with the differential diagnosis and demonstrated a subcutaneous nodule with an underlying umbilical hernia (Fig. 1).
Intraoperative images of endometrial tissue, subcutaneous mass and hernia sac.
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The umbilicus was inverted and red-purple endometrial tissue was seen implanted at its base (Fig. 2).
Resection of umbilical skin and pathology specimen.
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An Incision was made to include the involved skin and the specimen (skin, endometrioma and hernia sac) was pulled through and sent to pathology (Fig. 3).
Histology demonstrating fibrous tissue with numerous benign endometrial glands.
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The pathology demonstrated endometriosis (Fig. 4).