{"paper_id":"988d1c7e-75bf-4720-ac76-84d97fe0019d","body_text":"Abstract\nEndometriosis is the presence of endometrial-like tissue outside the uterine cavity, which most commonly affects peritoneal surfaces, ovaries and uterine ligaments. Even it is quite rare, endometriosis may affect the vulva, vagina, rectovaginal septum or perineal region, generally secondary to obstetric or surgical trauma. In this case report, we present a patient with perineal endometriosis in an episiotomy scar. Diagnostic tools used included transvaginal and endorectal ultrasonography (USG), magnetic resonance imaging (MRI) and biopsy. The endometriotic mass was wide-excised together with episiotomy scar. The recovery was uneventful with excellent functional and esthetic results. Six months after operation, woman is asymptomatic. According to the literature and our own experience, wide excision of endometriotic tissue seems to be the best chance of cure with satisfactory functional results and should be recommended.\nSimilar content being viewed by others\nReferences\nBazot M, Darai E, Hourani R, Thomassin I, Cortez A, Uzan S (2004) Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease. Radiology 232:379–389\nBergqvist A (1993) Different types of extragenital endometriosis: a review. Ginecol Endocrinol 7:207–221\nLin YH, Kuo LJ, Chuang AY, Cheng TI, Hung CF (2006) Extrapelvic endometriosis complicated with colonic obstruction. J Chin Med Assoc 69:47–50\nWitz CA (2002) Pathogenesis of endometriosis. Gynecol Obstet Invest 53:152–162\nLiang CC, Tsai CC, Chen TC, Soong YK (1996) Management of perineal endometriosis. Int J Gynecol Obstet 53:261–265\nAudebert AJ (1990) External endometriosis: histogenesis, etiology and natural course. Rev Prat 40:1077–1081\nKahraman K, Sonmezer M, Gungor M, Unlu C (2003) Recurrent vulvar-perineal endometriosis. Artemis 4:77–79\nKinkel K, Frei KA, Balleyguier C, Chapron C (2006) Diagnosis of endometriosis with imaging: a review. Eur Radiol 16:285–298\nSesti F, Vettraino G, Pietropolli A, Marziali M, Piccione E (2005) Vesical and vaginal endometriosis in postmenopause following oestrogen replacement therapy. Eur J Obstet Gynecol Reprod Biol 118:265–266\nMagtibay PM, Heppel J, Leslie KO (2001) Endometriosis-associated invasive adenocarcinoma involving the rectum in a postmenopausal female. Dis Colon Rectum 44:1530–1533\nChene G, Darcha C, Dechelotte P, Mage G, Canis M (2007) Malignant degeneration of perineal endometriosis in episiotomy scar, case report and review of the literature. Int J Gynecol Cancer 17:709–714\nDougherty LS, Hull T (2000) Perineal endometriosis with anal sphincter involvement. Dis Colon Rectum 43:1157–1160\nKanellos I, Kelpis T, Zaraboukas T, Betsis D (2001) Perineal endometriosis in episiotomy scar with anal sphincter involvement. Tech Coloproctol 5:107–108\nBarisic G, Krivokapic Z, Jovanovic D (2006) Perineal endometriosis in episiotomy scar with anal sphincter involvement: report of two cases and review of the literature. Int Urogynecol J 17:646–649\nHan-Bi W, Lan Z, Jing-He L, Zhu-Feng L, Da-Wei S, Jin-Hua L, Qing-Bo F (2008) Clinical presentation and management of perineal endometriosis with anal sphincter involvement: a report of 26 cases. J Reprod Med 17:69\nConflict of interest\nThe authors declare that they have no conflict of interest related to this article.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nOdobasic, A., Pasic, A., Iljazovic-Latifagic, E. et al. Perineal endometriosis: a case report and review of the literature. Tech Coloproctol 14 (Suppl 1), 25–27 (2010). https://doi.org/10.1007/s10151-010-0642-8\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s10151-010-0642-8","source_license":"CC0","license_restricted":false}