To cite: Menzies S, Chotirmall SH, Wilson G, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014206808 DESCRIPTION A 72-year-old woman was referred to our emergency department with general malaise and an elevated international normalised ratio (INR) at 15. Of note, she was on Warfarin therapy for atrial fibrillation. She appeared cachectic and frail. On ex...

Spontaneous umbilical endometriosis, also known as Villar's nodule, is an unusual location of the endometrial tissue.Whilst in the case of umbilical locations secondary to surgical procedures endometriosis occurs quite frequently,the frequency of the primary umbilical location is lower than 1% of all endometriosis locations. The authors present such a case diagnosed in a young, nulliparous pati...

Sir, Endometriosis is common, and extrapelvic deposits may occur in up to 12% of affected women. Cutaneous endometriosis is rare, usually appearing in surgical scars or following procedures such as hysterectomy, caesarean sections, episiotomy and laparoscopy. It is probably the result of implantation of viable endometrial cells or their transport via vascular channels. Umbilical endometriosis i...

Umbilical endometriosis is a fairly rare clinical entity with unclear pathogenesis. We report the case of a 27-year-old woman who presented with a painful umbilical mass and discharge. Imaging performed was inconclusive, and surgical excision of the site with margins revealed endometriosis on microscopic examination. The incidence of umbilical endometriosis, its pathogenesis, clinical manifesta...

BACKGROUND Primary umblikal endometriosis is a rare illness. In this report we aimed to discuss the management of this rare condition. CASE SUMMARY A 28-year-old nulliparous woman was present at our clinic who was suffering from painful swelling in the umbilicus during her menstruation for the last 3 months. Her examination showed a dark-color sensitive nodule of 20×15mm in size in the umbili...

BACKGROUND: Umbilical metastases from a malignant neoplasm, also termed Sister Mary Joseph's nodule, are not commonly reported in the English literature, and they have usually been considered as a sign of a poor prognosis for the patient. The present article reports on the current view point on umbilical metastasis besides discussing the epidemiology, clinical presentation, pathophysiology and ...