Evidence map›Paper›PMID 42325899›Full record

ArticleJournal of surgical case reports2026

Primary umbilical endometriosis masquerading as strangulated umbilical hernia: a diagnostic pitfall.

Syed Saad Ali Chishti, Adam Umair Ashraf Butt, Emeka Nzewi

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Syed Saad Ali ChishtiBeaumont Hospital, Dublin D09V2N0, Ireland.ORCID https://orcid.org/0009-0005-9492-1648
Adam Umair Ashraf ButtCavan General Hospital, Cavan H12Y7W1, Ireland.
Emeka NzewiCavan General Hospital, Cavan H12Y7W1, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary umbilical endometriosis (Villar's nodule) is a rare entity, representing 0.5%-1% of all endometriosis cases. We report a 37-year-old multiparous woman presenting with a 7-day history of umbilical pain, swelling, and constipation. Examination revealed a 2 × 2 cm hyperpigmented, firm, and tender umbilical nodule. The patient described cyclic umbilical pain over 5 months associated with an irregular menstrual cycle. Trans-abdominal ultrasound suggested an incarcerated umbilical hernia, leading to emergency surgery. Intraoperatively, a small hernial defect containing extraperitoneal fat and a separate subcutaneous nodule were identified without strangulation. Excisional biopsy of the nodule with primary hernia repair was performed. Histopathology demonstrated endometrial glands and stroma within fibroconnective tissue, confirming primary umbilical endometriosis. The postoperative course was uneventful, and the patient remained asymptomatic at 4-month follow-up. This case highlights diagnostic difficulty when umbilical endometriosis presents as a surgical emergency and emphasizes the importance of surgical excision with histopathological confirmation.

Indexed as

cyclic umbilical painemergency surgeryumbilical endometriosisumbilical herniaVillar's nodule

Identifiers

PMID42325899
PMCPMC13280939

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.