Perineal endometrioma in episiotomy incisions

E Hambrick, Hambrick E, Ernestine Hambrick, Abcarian H, H Abcarian, Herand Abcarian, D Smith, Durand Smith, Smith D
Diseases of the colon and rectum · 1979 · vol. 22(8) , pp. 550–552 · doi:10.1007/bf02587001 · PMID:527447 · W2005349968
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Four postpartum patients developed perineal endometriomas at episiotomy sites, presenting with cyclical pain and swelling, and were successfully treated with complete excision.

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This report details the clinical presentation and management of four patients aged 23 to 34 who developed endometriomas at episiotomy sites between 19 months and 11 years postpartum. All participants exhibited cyclical pain, swelling, and pruritus that correlated with their menstrual cycles, confirming the hormonal sensitivity of these lesions. The authors propose a mechanism for how endometrial tissue implants in the perineum and demonstrate that complete surgical excision is curative, while incomplete removal may require subsequent hormonal therapy. This paper is centrally about endometriosis — specifically focusing on the rare manifestation of superficial endometriosis occurring within episiotomy scars.

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Abstract

Four patients, 23--34 years old, who developed endometriomas at the site of an episiotomy 19 months to 11-years postpartum are reported. Pain, Swelling and pruritus varying in intensity with the menstrual cycle were present in all. Complete excision is curative. Symptoms of incompletely excised endometriomas may be controlled by local hormonal injections or systemic hormonal manipulation. The anatomy of the endometrium and its physiologic behavior are reviewed. A concept of WHY endometriomas develop is presented which is compatible with the theories of HOW they occur.
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Perineal endometrioma in episiotomy incisions: Clinical features and management: PDF Only Perineal endometrioma in episiotomy incisions Clinical features and management - Ernestine Hambrick - Herand Abcarian - Durand Smith Summary Four patients, 23-34 years old, who developed endometriomas at the site of an episiotomy 19 months to 11-years postpartum are reported. Pain, swelling and pruritus varying in intensity with the menstrual cycle were present in all. Complete excision is curative. Symptoms of incompletely excised endometriomas may be controlled by local hormonal injections or systemic hormonal manipulation. The anatomy of the endometrium and its physiologic behavior are reviewed. A concept of WHY endometriomas develop is presented which is compatible with the theories of HOW they occur. Copyright © The ASCRS 1979

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Endometriosis Episiotomy Perineum Perineum Perineum Adult Endometriosis Endometriosis Endometrium Endometrium Episiotomy Female Humans Menstruation Time Factors

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 (13)

Cited by (15)

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