Perineal endometriosis in episiotomy scar with anal sphincter involvement

I Kanellos, Ioannis Kanellos, Timotheos G. Kelpis, T Kelpis, T Zaraboukas, D Betsis
Techniques in coloproctology · 2001 · vol. 5(2) , pp. 107–108 · doi:10.1007/s101510170009 · PMID:11862568 · W2060427727
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This case report details the surgical excision of a perineal endometriotic mass in an episiotomy scar involving the anal sphincter, followed by reconstruction, resulting in aymptomatic recovery and full continence.

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This paper describes a rare case of perineal endometriosis located in an episiotomy scar with involvement of the anal sphincter. The authors report complete excision of the endometriotic mass, including portions of the episiotomy scar and the external anal sphincter, followed by overlapping sphincter reconstruction, with microscopic examination confirming endometriosis; the postoperative course was uncomplicated. At one year, the patient was asymptomatic and fully continent. This paper is centrally about endometriosis — specifically perineal endometriosis in an episiotomy scar with anal sphincter involvement.

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Abstract. Perineal endometriosis, especially with anal sphincter invasion, is a rare occurrence. We present a patient with perineal endometriosis in an episiotomy scar with anal sphincter involvement. The endometriotic mass was completely excised under general anesthesia with portions of the episiotomy scar and external anal sphincter. The procedure was followed by overlapping sphincter reconstruction. The excised mass was sent for microscopic examination, which confirmed endometriosis. The postoperative course was without complications. One year after the operation, the woman is asymptomatic and fully continent. Complete excision including a part of the anal sphincter with primary sphincteroplasty is the best treatment for perineal endometriosis involving the anal sphincter. Similar content being viewed by others Author information Authors and Affiliations Additional information Received: 16 January 2001 / Accepted in revised form: 28 March 2001 Rights and permissions About this article Cite this article Kanellos, I., Kelpis, T., Zaraboukas, T. et al. Perineal endometriosis in episiotomy scar with anal sphincter involvement. Tech Coloproctol 5, 107–108 (2001). https://doi.org/10.1007/s101510170009 Issue date: DOI: https://doi.org/10.1007/s101510170009

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Condition tags

endometriosis

MeSH descriptors

Anal Canal Endometriosis Episiotomy Perineum Adult Anal Canal Anal Canal Endometriosis Endometriosis Episiotomy Female Humans Perineum Treatment Outcome

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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License: CC0 · commercial use OK