[Perineal endometriosis with anal external sphincter involvement: a case-report]

González-Longoria G, G González-Longoria, Gilberto González-Longoria, R R Mejía-Ovalle, Mejía-Ovalle RR, RR Mejía-Ovalle, Salinas-Aragón E, Enrique Salinas-Aragón, E Salinas-Aragón, Jiménez-González A, A Jiménez-González, Aída Jiménez-González, H Q González-Contreras, González-Contreras HQ
Revista de gastroenterologia de Mexico · 2013 · vol. 76(2) , pp. 173–7 · PMID:21724494 · W189335110
Case report OA: closed CC0 ⤵ 5 in-corpus citations
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This case report describes a rare instance of perineal endometriosis involving the anal sphincter, diagnosed by endoanal ultrasound, and reviews literature supporting wide excision and sphincteroplasty for satisfactory results.

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Abstract

The presence of perianal endometriosis involving the anal sphincter is a rare presentation of this disease, most cases are diagnosed late and few are reported in the literature despite the number of episiotomies performed today. We present a case in a female with perianal symptoms after an episiotomy 15 years ago and visualized by endoanal ultrasound. We also review the literature of this condition. The treatment of choice is wide excision of the lesion involving the anal sphincter so the sphincter defect should be repaired by sphincteroplasty. According to the literature, early diagnosis by clinical suspicion and confirmation by endoanal ultrasound, with wide excision of endometrioma gives satisfactory results regarding anal continence.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Anal Canal Anus Diseases Endometriosis Adult Adult Anal Canal Anal Canal Anal Canal Anal Canal Anus Diseases Anus Diseases Anus Diseases Anus Diseases Cicatrix Cicatrix Cicatrix Cicatrix Endometriosis Endometriosis Endometriosis

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.

Cited by (5)

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europepmc
last seen: 2026-10-09T06:09:53.026058+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
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License: CC0 · commercial use OK