A rare case of perineal endometriosis in an episiotomy scar

Eftekhar Hassan Al-Ojaimi, Janan Alajaimi
In: Current Gynecologic Oncology · 2020 · vol. 18(1) , pp. 28–33 · doi:10.15557/cgo.2020.0006 · W3092117385
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a perineal swelling and cyclical pain in an episiotomy scar, diagnosed by MRI as endometriosis and successfully treated with surgical excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This paper reports a rare case of perineal endometriosis arising in an episiotomy scar, presenting with perineal swelling and cyclical pain after obstetric delivery. Using magnetic resonance imaging, the authors identified findings consistent with episiotomy scar endometriosis confined to the perineum, and wide surgical excision was performed, with histopathology confirming the diagnosis; they note no recurrence after surgery. As a limitation inherent to case reports, the report represents a single experience without a broader comparison group. This paper is centrally about endometriosis — it specifically describes episiotomy scar endometriosis in a perineal location.

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Abstract

Introduction: Episiotomy scar endometriosis is an extremely rare entity and often causes diagnostic uncertainty. Case report: We report a case of perineal swelling and cyclical pain following obstetric delivery with episiotomy. Magnetic resonance imaging revealed possible episiotomy scar endometriosis confined to the perineum. Wide surgical excision was performed and the histopathological report confirmed the diagnosis. No recurrence was noted after the surgery. Conclusion: Episiotomy scar endometriosis should be considered whenever a woman with previous episiotomy presents with cyclical pain or a nodule in the perineum. Magnetic resonance imaging can assist with the diagnosis and wide excision remains the best treatment option for this condition.
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A rare case of perineal endometriosis in an episiotomy scar Eftekhar Hassan Al-Ojaimi1, Janan Nabeel Alajaimi2 Introduction: Episiotomy scar endometriosis is an extremely rare entity and often causes diagnostic uncertainty. Case report: We report a case of perineal swelling and cyclical pain following obstetric delivery with episiotomy. Magnetic resonance imaging revealed possible episiotomy scar endometriosis confined to the perineum. Wide surgical excision was performed and the histopathological report confirmed the diagnosis. No recurrence was noted after the surgery. Conclusion: Episiotomy scar endometriosis should be considered whenever a woman with previous episiotomy presents with cyclical pain or a nodule in the perineum. Magnetic resonance imaging can assist with the diagnosis and wide excision remains the best treatment option for this condition.

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Condition tags

endometriosis

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.

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