Episiotomy site scar endometriosis: a case report and review of literature

Navjot Kaur, Bharti Goel, Anju Huria
In: The New Indian Journal of OBGYN · 2022 · vol. 8(2) , pp. 318–320 · doi:10.21276/obgyn.2022.8.2.32 · W4210471899
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This case report describes a 31-year-old woman with a tender perineal mass confirmed as endometriosis in an episiotomy scar, highlighting the rarity and potential diagnostic challenges of this condition.

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Abstract

Perineal endometriosis is a rare disease characterized by the presence of ectopic endometrial stroma and glands in the perineum. Most commonly observed in the episiotomy scar after normal vaginal deliveries, perineal endometriosis is not often considered in the differential diagnosis of perineal masses. This could lead to unnecessary investigations and inadequate patient treatments. A 31 years old woman complains of a tender perineal mass, which becomes hard and more painful during menses. Her symptoms started three years prior in the same area where a midline episiotomy was performed during a normal vaginal delivery. Complete surgical excision of the perineal mass was performed and the pathology report confirmed perineal endometriosis. No recurrence was noted on the postoperative course.

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Condition tags

endometriosis

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.

References (10)

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