Perineal scar endometriosis: a comparison of two cases

Deepti Jain
BMJ case reports · 2013 · vol. 2013 , pp. bcr2013010051 · doi:10.1136/bcr-2013-010051 · PMID:23897379 · PMC3736109 · W2011943514
Case report OA: bronze CC0 ⤵ 12 in-corpus citations
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Two cases of perineal scar endometriosis in young women following episiotomy were treated with surgical excision, with one requiring re-excision and the other showing symptom recurrence managed with GnRh analogue.

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Abstract

Perineal scar endometriosis is a devastating illness with grave consequences. An early diagnosis is imperative as a delayed diagnosis results in extension of the disease process causing increasing damage to adjoining structures like the anal sphincter and rectum. A late recognition of the disease also prolongs the agony of the patient owing to its being a very painful condition. Two cases are presented of parous women in their early thirties who had episiotomy scars preceding the development of endometriosis. The cases were treated by a perineal incision and removal of suspicious structures. However, a recurrent endometrioma was formed in one case, which had to be excised again. In the other case, symptoms of recurrence had begun, which subsided after a dose of GnRh analogue (leuprolide acetate 3.75 mg). Both patients are on follow-up and are fine until now.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Cicatrix Endometriosis Perineum Adult Adult Cicatrix Cicatrix Early Diagnosis Early Diagnosis Endometriosis Endometriosis Endometriosis Episiotomy Episiotomy Female Female Humans Humans Perineum Perineum

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (6)

Cited by (12)

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