Perineal Endometriosis in an Episiotomy scar: A Case Report and Review of Literature

Nalini Sharma, Dina Aisha Khan, Roma Jethani, Surjit Baruah, Biswajit Dey
In: Gynecology & Obstetrics Case report · 2018 · vol. 04(02) · doi:10.21767/2471-8165.1000066 · W2887783224
article OA: hybrid CC0 ⤵ 4 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This case report describes a patient with perineal endometriosis in an episiotomy scar, confirmed by FNAC, and reviews literature on this rare condition.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-24 · read from full text ⓘ

This paper reports a rare case of perineal endometriosis occurring in an episiotomy scar, described as likely due to direct implantation of endometriotic cells into a fresh wound, followed by scar endometriosis development. A patient presented with episiotomy-site pain linked to menstruation; during menstruation, examination showed reddish-brown spots with blood oozing, and the clinical diagnosis was confirmed by FNAC. The mass was excised for histopathological examination, and the authors note that although diagnosis is essentially clinical, preoperative evaluation with FNAC and endo-anal ultrasound can be performed, with wide local excision as the recommended approach and histopathology required to exclude rare malignant change. This paper is centrally about endometriosis — it presents perineal (scar) endometriosis arising in an episiotomy site and discusses its diagnosis and management.

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Abstract

Introduction: Perineal endometriosis is a rare entity which can be explained by direct implantation of endometriotic cells over the fresh episiotomy wound and subsequent development of scar endometriosis. Case Report: Present patient presented with pain at episiotomy site which is associated with menstruation. Examination during menstruation revealed reddish brown spots with blood oozing from the spots. Clinical diagnosis was confirmed by FNAC. Mass excised and sent for histopathological examination. Conclusion: Although diagnosis essentially remains clinical, preoperative evaluation with FNAC and endo-anal ultrasound can be performed. Wide local excision remains treatment of choice and follow up for recurrence is recommended. Histopathological examination is obligatory to exclude rare possibility of malignant changes.
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Introduction

Perineal endometriosis is a rare entity which can be explained by direct implantation of endometriotic cells over the fresh episiotomy wound and subsequent development of scar endometriosis. Case Report: Present patient presented with pain at episiotomy site which is associated with menstruation. Examination during menstruation revealed reddish brown spots with blood oozing from the spots. Clinical diagnosis was confirmed by FNAC. Mass excised and sent for histopathological examination.

Conclusion

Although diagnosis essentially remains clinical, preoperative evaluation with FNAC and endo-anal ultrasound can be performed. Wide local excision remains treatment of choice and follow up for recurrence is recommended. Histopathological examination is obligatory to exclude rare possibility of malignant changes. Select your language of interest to view the total content in your interested language - Aquaculture & Veterinary Science - Chemistry & Chemical Sciences - Clinical Sciences - Engineering - General Science - Genetics & Molecular Biology - Health Care & Nursing - Immunology & Microbiology - Materials Science - Mathematics & Physics - Medical Sciences - Neurology & Psychiatry - Oncology & Cancer Science - Pharmaceutical Sciences

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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.

References (15)

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