Endometriosis in an Episiotomy Scar: Case Report

Nur DOKUZEYLÜL GÜNGÖR, Tuğba GÜRBÜZ, Mustafa Kemal Demir, Ozlem Kurtkaya Yapicier, Leyla ZER, Şükriye Jülide SAĞIROĞLU
In: Türk Üreme Tıbbı ve Cerrahisi Dergisi · 2018 · vol. 2(1) , pp. 30–34 · doi:10.24074/tjrms.2018-59935 · W2900662735
article OA: diamond CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a rare instance of endometriosis occurring within an episiotomy scar, a condition characterized by functional endometrial tissue found outside the uterus.

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

This case report describes a rare instance of endometriosis presenting as a painful mass in episiotomy scar tissue in a 35-year-old woman, with symptoms in the perineal region for 3 months. Physical examination identified a painful mass, and ultrasonography and magnetic resonance imaging showed a fistula tract, after which the mass was surgically resected. Histopathologic examination confirmed perineal endometrioma located in the episiotomy scar. This paper is centrally about endometriosis — it documents endometriosis occurring in an episiotomy scar.

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Abstract

TJRMS 2018;2(1) 30 ndometriosis is defined as the presence of functional endometrial tissue outside the uterine cavity. 1 It is the second most prevalent benign gynecologic disease in women of reproductive age, with an incidence of 10% to 25%. 2,3 Despite the presence of endometrial tissue in ectopic locations being a common finding, perineal endometriosis is a very rare condition. Schickele (
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Abstract

Endometriosis is defined as the presence of endometrial stroma and glands outside the uterine cavity. It is a chronic disease found most commonly in women of reproductive age. In this study, we present a rare case of endometriosis which presented as a mass in the episiotomy scar tissues. A 35-year-old female patient was referred to our clinic with a complaint of painful swelling in the perineal region since 3 months. During physical examination, we palpated a painful mass and performed ultrasonography (USG) and magnetic resonance imaging (MRI) which revealed a fistula tract. The mass was surgically resected and the histopathologic examination of the mass confirmed perineal endometrioma in an episiotomy scar.

Keywords

Endometriosis, episiotomy, perineal pain

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Condition tags

endometriosis

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