Perineal Endometrioma with anal sphincter involvement. A case report

Carlos González Torres, L. Rivero, Dina Gil, Pedro José Salinas
In: http://services.bepress.com/cgi/viewcontent.cgi?article%3D1056%26context%3Dwjcs · 2013 · vol. 3(1) , pp. 16 · W2099857406
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This report details a 45-year-old patient with a perineal endometrioma involving the anal sphincter who underwent wide excision with sphincter preservation, showing no incontinence after one year.

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Abstract

Perineal endometriosis is a disease characterized by the presence of endometrial tissue in the perineal region. Perineal endometriosis with anal sphincter involvement is an infrequent occurrence. Ill many cases it is confused with granuloma, abscess, lipoma, adenopathy. The best treatment to obtain satisfactory cure consists in the wide excision, but it may cause incontinence if the anal sphincter is involved. Conversely, narrow excision may result in incomplete removal, with increased recurrence rates and need of additional hormonal therapy. Ill this paper we describe a 45 year old patient, with diagnosis of perianal endometrioma with anal sphincter involvement. The patient went through surgery with wide excision and preserved anal sphincter. After one year follow-up there were not complications reported by fecal incontinence. In contrast, the perineal endometriosis is considered an infrequent occurrence of pelvic endometriosis.

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endometriosisendometrioma

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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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