Endometriosis mimicking the perianal fistula tract: Case repor

Gül Türkçü
In: Dicle Medical Journal / Dicle Tip Dergisi · 2014 · vol. 41(3) , pp. 585–586 · doi:10.5798/diclemedj.0921.2014.03.0479 · W1582199799
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This case report describes a rare instance of perianal endometriosis that presented clinically and radiologically as a perianal fistula tract in a 36-year-old female.

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This paper is a Turkish case report describing endometriosis that mimicked a perianal fistula tract. The authors present an individual patient and discuss the clinical presentation and diagnostic reasoning consistent with an endometriosis process rather than a typical fistula. A key finding is that endometriosis can present in the perianal region in a way that resembles fistula disease, potentially leading to misclassification. This paper is centrally about endometriosis — a case presentation of perianal endometriosis mimicking a perianal fistula tract.

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Abstract

Endometriosis is the presence of endometrial glands and stroma outside the uterine cavity. Nowadays, in many cases, although routine use of episiotomy perineal endometriosis is extremely rare. A 36 year old female patient was referred to our hospital with complaints of pain in the perianal region for five months. On physical examination, stiffness was palpated and then magnetic resonance imaging (MRI) was performed. MRI is compatible with fistula tract. The lesion was excised and the histopathological appearance correspond to endometriosis. Perianal endometriosis is rare in the perianal region and in the clinic mimicking perianal fistulas and malignancy should be kept in mind in the differential diagnosis
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- Cevrioğlu AS, Yılmaz S, Yımazer M, Tokyol Ç. Sezeryan skarında endometriozis: olgu sunumu ve literatürün gözden geçirilmesi. T Klin J Gynecol Obst 2004;14:44-47. - Simoglou C, Zarogoulidis P, Machairiotis N, et al. Abdomi- nal wall endometrioma mimicking an incarcerated hernia: a case report. Int J General Med 2012;5:569-571. - Kahraman K, Sönmezer M, Güngör M, Ünlü C. Recurrent Vulvar-Perineal Endometriosis. Artemis 2003;4:77-79. - Dirican A, Özgör D, Ünal B, ve ark. Rektus abdominus ka- sında endometriozis: olgu sunumu. İnönü Üniversitesi Tıp Fakültesi Dergisi 2008;15:55-57. - Eliyatkın N, Karasu B, Zengel B, Postacı H. Sigmoid kolon ve lenf düğümünde ekstragenital endometriozis. Dicle Med J 2010;37:164-167. - Singh A. Umbilical endometriosis mimicking as papilloma to general surgeons: A case report. The Australasian Medical Journal 2012;5:272-274. - Gunes M, Kayikcioglu F, Ozturkoglu E, Haberal A. Inci- sional endometriosis after cesarean section, episiotomy and other gynecologic procedures. J. Obstet Gynaecol Res 2005;31:471-475. Details Primary Language Turkish Subjects - Journal Section - Authors Gül Türkcü This is me Yahya Avcı This is me Ulaş Alabalık This is me Arif Hamidi This is me Burak Veli Ülger This is me Hüseyin Büyükbayram This is me Publication Date September 1, 2014 Submission Date March 1, 2015 Acceptance Date - Published in Issue Year 2014 Volume: 41 Number: 3

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endometriosis

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