Vulvar endometriosis in surgical scar after excision of the Bartholin gland: report of a case

Alessandro Buda, Buda A, Luisa Ferrari, Ferrari L, Marra C, Chiara Marra, Paolo Passoni, Passoni P, Patrizia Perego, Milani R, Rodolfo Milani
Archives of gynecology and obstetrics · 2007 · vol. 277(3) , pp. 255–256 · doi:10.1007/s00404-007-0458-6 · PMID:17849134 · W2118804767
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⚙ AI-generated summary by claude@2026-07, 2026-07-08 ⓘ

This case report details a rare instance of vulvar endometriosis found in subcutaneous scar tissue of the labia minora following multiple Bartholin gland cyst excisions.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-08 · read from full text ⓘ

This paper reports a rare case of vulvar endometriosis infiltrating the subcutaneous tissue of the left labia minora within a surgical scar after cystectomy of a recurrent Bartholin gland abscess that had failed to resolve with office-based treatment. Endometriosis was found in the scar tissue following excision, highlighting extrapelvic disease in an unusual vulvar location. The main limitation is that it is a single case report with limited generalizability and no experimental comparison. This paper is centrally about endometriosis — it describes vulvar endometriosis occurring in a surgical scar after Bartholin gland excision.

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Abstract

Endometriosis is a common gynecologic disease characterized by growth of endometrial glands and stroma outside the endometrium. Implants are most commonly found in the pelvis but can occur in many other sites. Vulvar involvement of endometriosis is extremely rare. A case of vulvar endometriosis is presented. Endometriosis was infiltrating the subcutaneous scar tissue of left labia minora after cystectomy of Bartholin gland for abscess that has recurred several times despite office-based treatment.
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Abstract

Endometriosis is a common gynecologic disease characterized by growth of endometrial glands and stroma outside the endometrium. Implants are most commonly found in the pelvis but can occur in many other sites. Vulvar involvement of endometriosis is extremely rare. A case of vulvar endometriosis is presented. Endometriosis was infiltrating the subcutaneous scar tissue of left labia minora after cystectomy of Bartholin gland for abscess that has recurred several times despite office-based treatment. Similar content being viewed by others

References

Olive DL, Schwartz LB (1993) Endometriosis. N Engl J Med 328:1759–1769 Jubanyik KJ, Comite F (1997) Extrapelvic endometriosis. Obstet Gynecol Clin North Am 24:411–440 Barisic GI, Krivocapic ZV, Jovanoivic DR (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 Gocmen A, Inaloz HS, Sari I, Inaloz SS (2004) Endometriosis in the Bartholin gland. Eur J Obstet Gynecol Reprod Biol 114(1):110–111 Su HY, Chen WH, Chen CH (2004) Extra-pelvic endometriosis presenting as a vulvar mass in a teenage girl. Int J Gynecol Obstet 87:252–253 Sampson JA (1940) The development of the implantation theory for the origin of peritoneal endometriosis. Am J Obstet Gynecol 40:549 Meyer R (1919) Über den stand der adenomyositis und adenomyome im llgemeinen und insbesondere über adenomyositis serosepithelialis nd adenomyometritis sarcomatosa. Zbl Gynak 43:745 Irwin W, Pelkey T, Rice L, Andersen W (1998) Endometrial stromal sarcoma of the vulva arising in extraovarian endometriosis: a case report and literature review. Gynecol Oncol 71:313–316 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Buda, A., Ferrari, L., Marra, C. et al. Vulvar endometriosis in surgical scar after excision of the Bartholin gland: report of a case. Arch Gynecol Obstet 277, 255–256 (2008). https://doi.org/10.1007/s00404-007-0458-6 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-007-0458-6

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Condition tags

endometriosis

MeSH descriptors

Bartholin's Glands Cicatrix Endometriosis Vulvar Diseases Adult Bartholin's Glands Cicatrix Endometriosis Endometriosis Female Humans Vulvar Diseases Vulvar Diseases

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