Perineal endometrioma in episiotomy incisions

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AI-generated summary by claude@2026-06, 2026-06-09

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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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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Condition tags

mesh:D004715endometrioma

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)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-14T05:58:48.767648+00:00
License: CC0 · commercial use OK