Endometrioma perianal involucrando esfínter anal externo: reporte de un caso

Gilberto González-Longoria, RR Mejía-Ovalle, Enrique Salinas-Aragón, Aída Jiménez-González, H Q González-Contreras
In: Revista Portuguesa de Pneumologia · 2011 · vol. 76(2) , pp. 173–177 · W1690057023
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

This case report details a 39-year-old woman with a 15-year history of cyclical perianal mass and pain successfully treated with wide excision and external anal sphincter repair for cystic endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This paper reports a single case of a 39-year-old woman with a painful, cyclic perianal mass after a vaginal delivery complicated by a grade-four tear and episiotomy, presenting with intermittent bleeding through a perianal opening and occasional fecal incontinence. Using physical examination, CT, and endoanal ultrasound to define a ~4.3 cm lesion involving the external anal sphincter on the right (with intact internal sphincter), the authors performed wide excision of the endometrioma and sphincteroplasty; histopathology confirmed cystic endometriosis. Postoperatively, the patient had substantial pain improvement and complete continence with no recurrence at one year, but the study is limited to an isolated case and does not provide broader comparative effectiveness data. Relevance to endometriosis: the entire report is about endometriosis perianal (an endometrioma involving the external anal sphincter) presenting after episiotomy.

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endometrioma

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