{"paper_id":"d9b33a2e-3cf5-4633-8220-e52b3b3874b9","body_text":"A rare case of perineal endometriosis in an episiotomy scar\nEftekhar Hassan Al-Ojaimi1, Janan Nabeel Alajaimi2\nIntroduction: Episiotomy scar endometriosis is an extremely rare entity and often causes diagnostic uncertainty. Case report: We report a case of perineal swelling and cyclical pain following obstetric delivery with episiotomy. Magnetic resonance imaging revealed possible episiotomy scar endometriosis confined to the perineum. Wide surgical excision was performed and the histopathological report confirmed the diagnosis. No recurrence was noted after the surgery. Conclusion: Episiotomy scar endometriosis should be considered whenever a woman with previous episiotomy presents with cyclical pain or a nodule in the perineum. Magnetic resonance imaging can assist with the diagnosis and wide excision remains the best treatment option for this condition.","source_license":"CC0","license_restricted":false}