{"paper_id":"5db03062-c326-4a1d-a9d9-b8bf309d306a","body_text":"Abstract\nEndometriosis is the presence of ectopic endometrial tissue that responds to hormonal stimulation. Although it occurs most often in pelvis, several unusual sites have been reported like skin, umbilicus, vagina, etc. The pivotal case here is a 19-year-old lady who presented with a vaginal polypoidal growth mimicking carcinoma vagina. She gave a history of irregular vaginal bleeding since 3 years and something protruding through the vagina periodically before and during menstrual period. It was accompanied by moderate-to-severe dysmenorrhea and persistent pain in right iliac fossa. MRI was suggestive of B/L Adnexal masses with focal soft tissue lesion involving Right posterolateral fornix. On EUA, patient had a 3 × 4 cm polypoidal tongue-like vascular growth arising from right posterolateral fornix which was totally excised using diathermy. The histological exam of the tissue showed features of endometriosis. The patient was managed by monthly i/m injections of Depot preparation of GnRH analogs for 6 months. The patient now is absolutely symptom free. EUA and excision followed by proper medical management allayed the anxiety of patient and her parents.\nReferences\nShroen D. Disputatio Inauguralis. Medica de Uleribus uteri. Jena Krebs. 1960;1690:6–17.\nChoi SW, Lee HN, Kang SJ, Kim HO. A case of cutaneous endometriosis in postmenopausal woman receiving hormonal replacement. J Am Acad Dermatol. 1999;41(32):327–9.\nMartin JD Jr, Hauck AE. Endometriosis in the male. Am Surg. 1985;51(7):426–30.\nPurvis RS, Tyring SK. Cutaneous and subcutaneous endometriosis: surgical and hormonal therapy. J Dermatol surg Oncol. 1994;20(10):693–5.\nFedele L, Bianchi S, Zanconato G, Tozzi L, Raffaelli R. Gonadotropin-releasing hormone agonist treatment for endometriosis of the rectovaginal septum. Am J Obstet Gynecol. 2000;183:1462–7.\nHefler LA, Grimm C, Van Trotsenburg M, Nagele F. Role of the vaginally administered aromatase inhibitor anastrazole in women with rectovaginal endometriosis: a pilot study. Fertil Steril. 2005;84:1033–6.\nVercellini P, Crosignani PG, Somigliana E, Berlanda N, Barbara G, Fedele L. Medical treatment for rectovaginal endometriosis: what is the evidence? Hum Reprod. 2009;24(10):2504–14.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEthics declarations\nConflict of interest\nThe authors declare that they have no conflict of interest.\nAdditional information\nPublisher's Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nRights and permissions\nAbout this article\nCite this article\nLakhwani, P., Kumar, K. Vaginal Endometriosis: An Enigma for Clinicians. Indian J Gynecol Oncolog 17, 34 (2019). https://doi.org/10.1007/s40944-019-0279-0\nReceived:\nRevised:\nAccepted:\nPublished:\nVersion of record:\nDOI: https://doi.org/10.1007/s40944-019-0279-0","source_license":"CC0","license_restricted":false}