Periodic Bleeding Papule in the Umbilical Cicatrix

A 43-year-old woman presented with a 5-month history of a recurrent bleeding lesion in the umbilical cicatrix. She reported that the lesion was bleeding and that she experienced pain 6  days per month, coinciding with her menstrual cycle. She had undergone laparoscopy due to endometriosis 8 years prior. In addition, she visited the Emergency Department 2 months prior to presentation and was diagnosed with an umbilical hernia. Physical examination revealed an erythematous, painl ess nodule, without spontaneous bleeding, in the umbilical scar (Figures 1 and 2).
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research