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Case 81 - A 38-Year-Old G0 Woman with a 4 Cm Umbilical Mass

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 38-year-old nulligravid woman presents to the office with a painful umbilical mass present for one year. She describes near daily pain, worse just prior to and during menses. She also reports a one- to two-year history of dysmenorrhea and intermittent dyspareunia. Currently her pain is 3 out of 10, and during menses it increases to 6 out of 10. Menses occur at 24-day intervals with up to 7 days of bleeding, heavy on days 1 to 3. She is not currently sexually active and has no history of sexually transmitted infections. She denies any past medical or surgical history. Her medications include a combination oral contraceptive pill and ibuprofen as needed for pain. She has no known drug allergies. Family history is unremarkable.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 247 - 249
Publisher: Cambridge University Press
Print publication year: 2021

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References

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