Endoanal sonography in the assessment of perianal endometriosis with external anal sphincter involvement

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Endoanal sonography evaluated a patient with a perianal mass, fecal incontinence, and pain, revealing external anal sphincter injury and endometrioma in an episiotomy scar, leading to surgical improvement.

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Abstract

Abstract Endoanal sonography can be used in the assessment of benign and malignant anal conditions and to evaluate the anatomy of the anal sphincters. We used endoanal sonography with a 10‐MHz rotating endocavitary probe to evaluate a 45‐year‐old woman with a perianal mass, fecal incontinence, and menses‐associated perianal pain. She had had 2 vaginal deliveries requiring episiotomies. Biopsy of the mass showed endometrial tissue. The ultrasound examination showed a perianal mass and an external anal sphincter injury. A wide excision and sphincteroplasty were performed, with improvement of fecal continence and pain. Histopathologic examination of the mass confirmed perianal endometrioma in an episiotomy scar. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:245–248, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.10055

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Condition tags

endometriosisendometrioma

MeSH descriptors

Anal Canal Anus Diseases Endometriosis Anal Canal Anal Canal Anus Diseases Anus Diseases Diagnosis, Differential Endometriosis Endometriosis Female Humans Middle Aged Treatment Outcome Ultrasonography Ultrasonography

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.

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