Preoperative Magnetic Resonance evaluation of perineal endometriosis in episiotomy scar with anal sphincter involvement

Vijaya Kamble, Madhuri Sushil Gawande
In: Panacea Journal of Medical Sciences · 2016 · vol. 6(3) , pp. 170–172 · doi:10.18231/pjms.v.6.i.3.170-172 · W2610528588
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Abstract

Perineal endometriosis in episiotomy scar with anal sphincter involvement is an infrequent occurrence. After six months follow-up, there were no complications reported by faecal incontinence. Endometriosis is defined as the presence of ectopic functional endometrial tissue outside the uterine cavity. Clinically scar endometriosis presents as a palpable subcutaneous mass near surgical scars associated with cyclic pain and swelling during menses. Local examination is essential for an accurate diagnosis. Here we present a case with perineal endometriosis in episiotomy scar with involvement of external anal sphincter and puborectalis muscle treated with wide surgical excision. Magnetic resonance imaging has given detailed extension of the lesion with the help of which wide excision of endometriotic tissue was possible. During surgery care was taken to remove all affected tissue. The recovery was uneventful with excellent functional and aesthetic results. On follow up after six months of operation, woman was found to be asymptomatic.

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endometriosis

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