Spontaneous hymeneal endometriosis: a rare cause of dyspareunia

Geoffroy Canlorbe, Canlorbe G, Laas E, Enora Laas, A. Cortez, Annie Cortez, Cortez A, Émile Daraï, Emile Daraï, Daraï E
BMJ case reports · 2014 · vol. 2014 , pp. bcr2013202299 · doi:10.1136/bcr-2013-202299 · PMID:24671316 · PMC3975491 · W2325019346
article OA: closed CC0 ⤵ 9 in-corpus citations
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This paper reports a case of spontaneous hymenal endometriosis causing dyspareunia in a 30-year-old woman, which was successfully treated with surgical excision.

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Abstract

Vulvar endometriosis can occur after surgery or trauma and cause dyspareunia. A 30-year-old woman presented with orificial dyspareunia lasting for 5 months. Her history was marked by a vaginal birth without perineal injury and the removal of a cyst from the left Bartholin's gland. On examination, we observed a selectively painful, superficial and retractile lesion, 5 mm in diameter at the junction of the hymen at some distance from the bartholinitis scar. Endometriosis was suspected due to the exacerbation of pain during menses. The surgery consisted of excision of the hymenal area of the painful lesion. Pathological examination confirmed the presence of endometrial tissue. The painful symptoms resolved and no additional treatment was administered. Any vulvar lesion, regardless of its appearance and location, can be related to endometriosis. Surgical resection is recommended to relieve the symptoms and provide histological proof.

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Condition tags

dyspareuniaendometriosis

MeSH descriptors

Dyspareunia Endometriosis Hymen Vulvar Diseases Adult Dyspareunia Endometriosis Endometriosis Endometriosis Female Humans Hymen Hymen Vulvar Diseases Vulvar Diseases Vulvar Diseases

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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Cited by (10)

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