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

Hernández-Magro PM, Paulino Martínez Hernández‐Magro, Paulino Martínez Hernández-Magro, Villanueva Sáenz E, Eduardo Villanueva Sáenz, Alvarez-Tostado Fernández F, Fernando Alvarez-Tostado Fernández, Fernando Alvarez‐Tostado Fernández, Fernando Álvarez-Tostado Fernández, Luis Rocha Ramírez J, José Luis Rocha Ramírez, Miguel Valdés Ovalle, Valdés Ovalle M
Journal of clinical ultrasound : JCU · 2002 · vol. 30(4) , pp. 245–248 · doi:10.1002/jcu.10055 · PMID:11981936 · W2038912015
Case report OA: closed CC0 ⤵ 13 in-corpus citations
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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

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.

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Condition tags

endometriosisendometrioma

MeSH descriptors

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

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 (12)

Cited by (13)

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License: CC0 · commercial use OK