Perineal endometrioma in episiotomy incisions
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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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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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Cited by (15)
- The clinical features and management of perineal endometriosis with anal sphincter involvement: a clinical analysis of 31 cases 2012
- Perineal Endometriosis in an Episiotomy Scar: Case Report and Review of Literature 2012
- Diagnosis and Treatment of Perineal Endometriosis 2012
- Sonography of endometriosis in infrequent sites 2007
- ENDOMETRIOSIS PERINEAL MALIGNIZADA 2007
- Endométriose pelvienne tumorale sous-péritonéale 2006
- Endometriosis in an episiotomy scar preceding pelvic endometriosis 2002
- Endometriomas de pared abdominal: aspectos diagnósticos 2001
- Extrapelvic Endometriosis 1999
- Management of perineal endometriosis 1996
- Extragenital Endometriosis 1995
- Endometriosis in Episiotomy Sar Involving Anal Sphincter. 1993
- Endometriosis in episiotomy scar with anal sphincter involvement 1991
- Perineal endometriosis 1990
- Computed tomography appearance of subcutaneous endometrioma 1985
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