Rare case of perianal endometriosis complicated with perianal fistula: case report

Lucian Sorin ANDREI, Radu Sorin POPISTEANU, A Andrei, Maria BlACIOTI
In: Medicina Moderna - Modern Medicine · 2019 · vol. 26(2) , pp. 89–91 · doi:10.31689/rmm.2019.26.2.89 · W2955789836
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

A 42-year-old patient with a history of perianal fistula interventions presented with pain and secretions, where biopsies confirmed endometriosis, treated with fistulotomy resulting in partial symptom remission.

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Abstract

Perianal endometriosis is a rare pathology which occurs mainly in patients with history of vaginal birth associated with an episiotomy scar.We present the case of a 42 year old patient with history of multiple interventions for right perianal fi stula, accusing pain, purulent secretions and bleeding at the site of the interventions.Biopsies collected were specifi c for endometriosis.In the context of the sphincter involvement, which brings a high risk of incontinence, and the hormone-dependent evolution of this pathology, which tends to regress once menopause is reached, a fi stulotomy was made, with subsequent remission of the purulent secretions, but with the persistence of the bleeding from the region during the menstrual cycle.

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endometriosis

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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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