Endometriosis at the Vaginal Scar: A Case Report
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Endometriosis is a chronic disease defined as the ectopic growth of functional endometrial glands and stroma outside the uterine cavity. Vaginal scar endometriosis is a rare form of extra-pelvic endometriosis following obstetric or gynaecological vaginal surgeries. Here, we present a case of a 50-year-old P2L2 (Normal Vaginal Delivery), status postvaginal hysterectomy, with complaints of mass/growth at introitus 4 years with cyclical nodular swelling and spotting per vagina every month. Local examination revealed a 2×3 cm nodule at the fourchette region. Wide local excision of the nodule with a free margin of 1 cm of the surrounding healthy tissue was done. The postoperative course was uneventful, and the patient remained asymptomatic during follow-up visits. It is necessary to create awareness and high suspicion among doctors for early diagnosis and treatment of such a rare form of extrapelvic endometriosis to provide relief and a good quality of life for patients.
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Endometriosis at the Vaginal Scar: A Case Report
Correspondence Address :
Dr. Dhayalan Arunachalam,
Intern, Department of Obstetrics and Gynaecology, Father Muller Hospital, Thumbay, Bantwal Taluk, Mangaluru-574217, Karnataka, India.
E-mail: [email protected]
Endometriosis is a chronic disease defined as the ectopic growth of functional endometrial glands and stroma outside the uterine cavity. Vaginal scar endometriosis is a rare form of extra-pelvic endometriosis following obstetric or gynaecological vaginal surgeries. Here, we present a case of a 50-year-old P2L2 (Normal Vaginal Delivery), status postvaginal hysterectomy, with complaints of mass/growth at introitus 4 years with cyclical nodular swelling and spotting per vagina every month. Local examination revealed a 2×3 cm nodule at the fourchette region. Wide local excision of the nodule with a free margin of 1 cm of the surrounding healthy tissue was done. The postoperative course was uneventful, and the patient remained asymptomatic during follow-up visits. It is necessary to create awareness and high suspicion among doctors for early diagnosis and treatment of such a rare form of extra-pelvic endometriosis to provide relief and a good quality of life for patients.
Cyclical swelling, Extra-pelvic endometriosis, Surgical menopause, Vaginal fourchette, Vaginal hysterectomy
DOI: 10.7860/JCDR/2026/82291.23650
Date of Submission: Jul 25, 2025
Date of Peer Review: Dec 04, 2025
Date of Acceptance: Feb 21, 2026
Date of Publishing: Jun 01, 2026
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Aug 28, 2025
• Manual Googling: Feb 14, 2026
• iThenticate Software: Feb 18, 2026 (7%)
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