Perineal Scar Endometriosis Post Forceps Vaginal Delivery

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This case report presents a unique occurrence of endometriosis within an episiotomy scar following forceps vaginal delivery, discussing its presentation, diagnosis, and management.

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This paper is a case report describing perineal scar endometriosis occurring in an episiotomy scar after forceps vaginal delivery, focusing on the clinical presentation and the diagnostic and management approach used for this rare manifestation. The authors highlight that endometriosis in perineal episiotomy scars is uncommon compared with other surgical-scar sites, and they review relevant prior reports to contextualize the case. A key limitation is that, as a single case report, it cannot establish prevalence or generalizable risk factors, and the manuscript does not provide an extensive study design beyond narrative discussion. This paper is centrally about endometriosis — specifically episiotomy (perineal scar) endometriosis after forceps vaginal delivery.

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Abstract

Scar endometriosis is increasingly being reported with the increase in surgeries particularly cesarean sections. Episiotomy scars, resulting from surgical incisions made during childbirth, are uncommon sites for endometriosis. This case report presents a unique occurrence of endometriosis within an episiotomy scar. We discuss the clinical presentation, diagnostic and management approach, to shed light on this rare manifestation of endometriosis.
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Abstract

Scar endometriosis is increasingly being reported with the increase in surgeries particularly cesarean sections. Episiotomy scars, resulting from surgical incisions made during childbirth, are uncommon sites for endometriosis. This case report presents a unique occurrence of endometriosis within an episiotomy scar. We discuss the clinical presentation, diagnostic and management approach, to shed light on this rare manifestation of endometriosis.

References

Paull T, Tedeschi LG. Perineal endometriosis at the site of episiotomy scar. Obstet Gynecol. 1972;40(1):28–34 (PMID: 4537891). Cinardi N, Franco S, Centonze D, Giannone G. Perineal scar endometriosis ten years after Miles' procedure for rectal cancer: case report and review of the literature. Int J Surg Case Rep. 2011;2(6):150–3. https://doi.org/10.1016/j.ijscr.2011.04.001. Epub 2011 Apr 15. PMID: 22096711; PMCID: PMC3199622. Bindra V, Reddy N, Reddy CA, Swetha P, Alapati KV, Nori M. Recurrent perineal scar endometriosis: a case report. Case Rep Womens Health. 2022;19(36): e00457. https://doi.org/10.1016/j.crwh.2022.e00457.PMID:36281243;PMCID:PMC9587519. Chene G, Darcha C, Dechelotte P, Mage G, Canis M. Malignant degeneration of perineal endometriosis in episiotomy scar, case report and review of the literature. Int J Gynecol Cancer. 2007;17(3):709–14. https://doi.org/10.1111/j.1525-1438.2007.00822.x. Epub 2007 Feb 9. PMID: 17300680. Funding No funding mentioned in manuscript. Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of interest There are no conflict of interest and no funding. Informed Consent Informed consent was obtained from all individual participants included in the study. Ethical approval None. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Dr. Shruti R. Mishra is resident in Obstetrics and Gynecology; Dr. Angad Ranadive is Senior registrar in Obstetrics and Gynecology; Dr. Gaurav S. Desai is Assistant Professor in Obstetrics and Gynecology. Rights and permissions About this article Cite this article Mishra, S.R., Randive, A. & Desai, G.S. Perineal Scar Endometriosis Post Forceps Vaginal Delivery. J Obstet Gynecol India 74, 466–468 (2024). https://doi.org/10.1007/s13224-023-01870-9 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s13224-023-01870-9

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endometriosis

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