Perineal endometriosis: a case report and review of the literature

A Odobasic, Pasic A, A. Pasic, E. Iljazovic-Latifagic, Iljazovic-Latifagic E, Lejla Arnautalić, L Arnautalic, Arnautalic L, Ad. Odobasic, Odobasic A, Enes Idrizović, E Idrizovic, Idrizovic E, Dervisefendic M, M. Dervisefendic, Dedić L, L. Dedić
Techniques in coloproctology · 2010 · vol. 14(S1) , pp. 25–27 · doi:10.1007/s10151-010-0642-8 · PMID:20862505 · W2029768679
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This case report details a patient with perineal endometriosis in an episiotomy scar, diagnosed via ultrasound, MRI, and biopsy, and successfully treated with wide excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper reports a case of perineal endometriosis occurring in an episiotomy scar, and provides a brief review of the literature. Diagnosis was pursued using transvaginal and endorectal ultrasonography, MRI, and biopsy, followed by wide excision of the endometriotic mass together with the episiotomy scar. The patient’s recovery was uneventful, with excellent functional and aesthetic outcomes and asymptomatic status at six months. The paper’s main limitation is that it is based on a single case (with limited follow-up) alongside a literature review. This paper is centrally about endometriosis — specifically perineal endometriosis in an episiotomy scar.

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Abstract

Endometriosis is the presence of endometrial-like tissue outside the uterine cavity, which most commonly affects peritoneal surfaces, ovaries and uterine ligaments. Even it is quite rare, endometriosis may affect the vulva, vagina, rectovaginal septum or perineal region, generally secondary to obstetric or surgical trauma. In this case report, we present a patient with perineal endometriosis in an episiotomy scar. Diagnostic tools used included transvaginal and endorectal ultrasonography (USG), magnetic resonance imaging (MRI) and biopsy. The endometriotic mass was wide-excised together with episiotomy scar. The recovery was uneventful with excellent functional and esthetic results. Six months after operation, woman is asymptomatic. According to the literature and our own experience, wide excision of endometriotic tissue seems to be the best chance of cure with satisfactory functional results and should be recommended.
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Abstract

Endometriosis is the presence of endometrial-like tissue outside the uterine cavity, which most commonly affects peritoneal surfaces, ovaries and uterine ligaments. Even it is quite rare, endometriosis may affect the vulva, vagina, rectovaginal septum or perineal region, generally secondary to obstetric or surgical trauma. In this case report, we present a patient with perineal endometriosis in an episiotomy scar. Diagnostic tools used included transvaginal and endorectal ultrasonography (USG), magnetic resonance imaging (MRI) and biopsy. The endometriotic mass was wide-excised together with episiotomy scar. The recovery was uneventful with excellent functional and esthetic results. Six months after operation, woman is asymptomatic. According to the literature and our own experience, wide excision of endometriotic tissue seems to be the best chance of cure with satisfactory functional results and should be recommended. Similar content being viewed by others

References

Bazot M, Darai E, Hourani R, Thomassin I, Cortez A, Uzan S (2004) Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease. Radiology 232:379–389 Bergqvist A (1993) Different types of extragenital endometriosis: a review. Ginecol Endocrinol 7:207–221 Lin YH, Kuo LJ, Chuang AY, Cheng TI, Hung CF (2006) Extrapelvic endometriosis complicated with colonic obstruction. J Chin Med Assoc 69:47–50 Witz CA (2002) Pathogenesis of endometriosis. Gynecol Obstet Invest 53:152–162 Liang CC, Tsai CC, Chen TC, Soong YK (1996) Management of perineal endometriosis. Int J Gynecol Obstet 53:261–265 Audebert AJ (1990) External endometriosis: histogenesis, etiology and natural course. Rev Prat 40:1077–1081 Kahraman K, Sonmezer M, Gungor M, Unlu C (2003) Recurrent vulvar-perineal endometriosis. Artemis 4:77–79 Kinkel K, Frei KA, Balleyguier C, Chapron C (2006) Diagnosis of endometriosis with imaging: a review. Eur Radiol 16:285–298 Sesti F, Vettraino G, Pietropolli A, Marziali M, Piccione E (2005) Vesical and vaginal endometriosis in postmenopause following oestrogen replacement therapy. Eur J Obstet Gynecol Reprod Biol 118:265–266 Magtibay PM, Heppel J, Leslie KO (2001) Endometriosis-associated invasive adenocarcinoma involving the rectum in a postmenopausal female. Dis Colon Rectum 44:1530–1533 Chene G, Darcha C, Dechelotte P, Mage G, Canis M (2007) Malignant degeneration of perineal endometriosis in episiotomy scar, case report and review of the literature. Int J Gynecol Cancer 17:709–714 Dougherty LS, Hull T (2000) Perineal endometriosis with anal sphincter involvement. Dis Colon Rectum 43:1157–1160 Kanellos I, Kelpis T, Zaraboukas T, Betsis D (2001) Perineal endometriosis in episiotomy scar with anal sphincter involvement. Tech Coloproctol 5:107–108 Barisic G, Krivokapic Z, Jovanovic D (2006) Perineal endometriosis in episiotomy scar with anal sphincter involvement: report of two cases and review of the literature. Int Urogynecol J 17:646–649 Han-Bi W, Lan Z, Jing-He L, Zhu-Feng L, Da-Wei S, Jin-Hua L, Qing-Bo F (2008) Clinical presentation and management of perineal endometriosis with anal sphincter involvement: a report of 26 cases. J Reprod Med 17:69 Conflict of interest The authors declare that they have no conflict of interest related to this article. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Odobasic, A., Pasic, A., Iljazovic-Latifagic, E. et al. Perineal endometriosis: a case report and review of the literature. Tech Coloproctol 14 (Suppl 1), 25–27 (2010). https://doi.org/10.1007/s10151-010-0642-8 Published: Issue date: DOI: https://doi.org/10.1007/s10151-010-0642-8

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Adult Cicatrix Cicatrix Endometriosis Episiotomy Episiotomy Female Humans Perineum

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