Perineal Endometriosis in an Episiotomy Scar- A Rare Case Report

Mahendra Singh, Jagdish Kumar, Anita Omhare, Neelima Verma
In: SSR Institute of International Journal of Life Sciences · 2019 · vol. 5(1) , pp. 2137–2139 · doi:10.21276/ssr-iijls.2019.5.1.4 · W2944546921
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a 25-year-old woman diagnosed with perineal endometriosis in her episiotomy scar after surgical excision and histopathological confirmation.

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Abstract

Background: Perineal endometriosis is a rare disease characterized by the presence of ectopic endometrial stroma and glands in the perineum with an incidence rate of 0.31%. Most commonly observed in the episiotomy scar after normal vaginal deliveries and perineal, it is not often considered in the differential diagnosis of perineal masses. This could lead to unnecessary investigations and inadequate patient treatments. Methods: A 25-year-old woman with complaints of a tender perineal mass, which became hard and more painful during menses. Her symptoms started since 6 months back. Previously on the same site, where a midline episiotomy was performed during the normal vaginal delivery. Complete surgical excision of the perineal mass was performed and the histopathology report confirmed perineal endometriosis. No recurrence was noted on the postoperative course. Results: On histopathological examination of resected mass perineal scar endometriosis was conformed.

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Condition tags

endometriosis

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