Perineal scar endometriosis ten years after Miles’ procedure for rectal cancer: Case report and review of the literature

Nicola Cinardi, Salvatore Franco, Danilo Centonze, Giorgio Giannone
International journal of surgery case reports · 2011 · vol. 2(6) , pp. 150–153 · doi:10.1016/j.ijscr.2011.04.001 · PMID:22096711 · PMC3199622 · W2083589762
article OA: gold CC0 ⤵ 13 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a patient with perineal scar endometriosis ten years after a Miles' procedure for rectal cancer, presenting with enlarged, tender nodules that were successfully treated with wide excision.

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Abstract

Endometriosis within a perineal scar after a Miles' procedure has not been previously reported in literature. We report a case of a 35-year-old-female who was treated 10 years before at the same institution for a low rectal cancer that presents with two discrete subcutaneous bulges within her perineal wound. Since the patient was asymptomatic and the complete work up for recurrent disease showed no evidence of malignancy, first line therapy was conservative. After two pregnancies and a caesarean section, the patient presented at our observation with enlarged and tender perineal nodules. The patient was treated with a wide excision of the perineal scar en-bloc with the nodules. Final pathology report was consistent with scar endometriosis.

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Condition tags

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.

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