Bleeding Umbilical Nodule

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A 37-year-old woman presented with a one year history of an enlarging nodule on her umbilicus. The lesion had started to bleed intermittently, which had prompted referral to the dermatology unit. It was otherwise asymptomatic and she had no history of dermatoses. She had a background history of hypertension and osteogenesis imperfecta that was diagnosed in infancy.
On examination, a 16 × 10-mm pink pedunculated nodule was present on the inferior aspect of the umbilicus (Fig. 1). The lesion had a smooth surface and felt hard on palpation. Ultrasonography revealed a vascular lesion with a cystic component that did not communicate with the peritoneal cavity. A shave excision of the lesion was performed.
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