Episiotomy site endometriosis: a rare case report

Fatima Usmani, Rashmi Gupta
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2019 · vol. 8(7) , pp. 2898 · doi:10.18203/2320-1770.ijrcog20193064 · W2955811904
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This case report details a 22-year-old female with perineal endometriosis at an episiotomy site, likely caused by transplanted endometrial tissue during delivery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper reports a rare case of episiotomy site endometriosis in a 22-year-old woman, describing the clinical presentation, operative findings, and pathological findings of perineal endometriosis located at the episiotomy scar. It frames “scar endometriosis” as an infrequent extra-pelvic form potentially arising from transplantation of viable decidual endometrial cells into episiotomy wounds during normal delivery with subsequent growth. The major limitation is that the evidence is based on a single case report. This paper is centrally about endometriosis — specifically, endometriosis occurring at an episiotomy (perineal scar) site.

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Abstract

Endometriosis is defined as the presence of endometrial tissue apart from its usual location. Scar endometriosis is an infrequent type of extra pelvic endometriosis. Viable decidual endometrial cells are likely to be transplanted in the episiotomy wounds during normal delivery and subsequent growth may occur. We present here a case of 22 year old female with perineal endometriosis at the episiotomy site. The clinical, operative and pathological findings are reported.
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Episiotomy site endometriosis: a rare case report DOI: https://doi.org/10.18203/2320-1770.ijrcog20193064Keywords: Episiotomy, Endometriosis, Episiptomyendometrisis, Perineal endometriosis, Painful scar, Scar endometriosisAbstract Endometriosis is defined as the presence of endometrial tissue apart from its usual location. Scar endometriosis is an infrequent type of extra pelvic endometriosis. Viable decidual endometrial cells are likely to be transplanted in the episiotomy wounds during normal delivery and subsequent growth may occur. We present here a case of 22 year old female with perineal endometriosis at the episiotomy site. The clinical, operative and pathological findings are reported. Metrics References Gauna BRD, Rodriguez D,Cabre S, Callejo J. A Case of Endometrisis in episiotomy scar with anal sphincter involvement. International J Clinical Med. 2011;2(5):624-6. Goel P, Sood SS, Dalal A, Romilla. Caesarean Scar Endometriosis: Report of two cases. Indian J Med Sci. 2005;59(11):495-8. Sharma N, Theik JL, Rituparna D, Mishra J, Singh A. Incisional Endometriosis: A rare case of painful scar. J Midwifery Reproductive Health. 2017;5(2):927-9. Francica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramanto G. Abdominal wall endometriosis near cesarean delivery scars. J Ultrasound Med. 2003;22(10):1041-7. Salamalekis E, Vasiliadis TX, Kairi P. Perineal endometriosis. Int J Gynaecol Obstet.1990;2013;31(1)-75-80. Patel MD, Feldstein VA, Chen DC, Lipson SD, Filly RA. Endometriomas: diagnostic performance of US. Radiology. 1999;210(3):739-45. Togashi K, Nishimura K, Kimura I, Tsuda Y, Yamashita K, Shibata T, et al. Endometrialcysts: Diagnosiswith MR imaging. Radiology. 1991;180(1):73-8. Patil BS, Tripathi JB, Patil FB. Extrapelvic Endometriosis: A study of 17 cases. J South Asian Fed Obster Gynecol. 2012;4(1):32-4. Luterek K, Barcz E, Bablok L. Giant recurrent perineal endometriosis in an episiotomy scar- a case report. Ginekol Pol. 2013;84(8):726-9. Park SW, Hong SM, Wu HG, Ha SW. Clear cell carcinoma arising in a caesarean scar endomrtriosis. J Korean Med Sci. 1999;14(2):217-9.

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