[Skip to Content]
[Skip to Content Landing]
Article
October 1938

ENDOMETRIOSIS OF THE UMBILICUSVICARIOUS MENSTRUATION FOLLOWING HYSTERECTOMY

Author Affiliations

NEW YORK
From the service of Dr. Eugene H. Pool, the New York Hospital.

Arch Surg. 1938;37(4):642-650. doi:10.1001/archsurg.1938.01200040124011
Abstract

Endometriosis, usually considered to lie within the field of the gynecologist, presents a problem for the general surgeon when the site of the disease is the umbilicus. The recent increase in the number of reported cases seems to indicate a much better understanding of the condition. I wish to report 1 case and to present short summaries of the pathogenesis, pathologic picture, diagnosis and treatment of this condition. Ninety-six cases from the literature are reported chronologically. A complete bibliography is appended.

PATHOGENESIS  The varied names applied to the diseases grouped by Sampson and de Josselin de Jong under the title of "endometriosis" point to the indefinite origin of these tumors. Von Recklinghausen, on the basis of their morphologic resemblance to mesonephros, described them as arising from wolffian remnants. Others, notably Cullen, stated that they take origin from müllerian rests. Lauche concluded that they arise by metaplasia from peritoneal surfaces (seroepithelial).

First Page Preview View Large
First page PDF preview
First page PDF preview
×