Clinical analysis of 14 cases with perineal and abdominal wall endometriosis

Objective To explore the diagnosis and treatment of 14 cases with pe rineal and abdominal wall endometriosis. Methods 14 patients with perineal and a bdominal wall endometriosis treated in our department from 1991 to 2002 were ana lyzed retrospectively. Results Diagnosis of 14 cases were confirmed according to clinical manifestations and pathological evidences. Among 14 cases,4 cases wit h perineal endometriosis had history of perineal tear and episiotomy,10 cases w ith abdominal wall endometriosis had history of celiohysteromy. The latent perio d of patient who was less than 30 years old is within one year. The latent perio d of patient who was more than 30 years old is more than one years (P0.05). 3 c ases with perineal endometriosis and 10 cases with abdominal wall endometriosis were excised totally. Conclusion Perineal endometriosis and abdominal wall endom etriosis are mainly diagnosed by clinical manifestations. Surgical excision is t he first choice of treatment.