Vulvar endometriosis in the setting of a traumatic neuroma

Erika Wallace, Sara Marín, Rayan Elkattah
In: Journal of Endometriosis and Pelvic Pain Disorders · 2019 · vol. 11(1) , pp. 49–51 · doi:10.1177/2284026519828909 · W2922052985
article OA: bronze CC0 ⤵ 1 in-corpus citation
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Abstract

Endometriosis is a rare documented source of vulvar pain. Extra-pelvic endometriosis and traumatic neuromas have been reported in individual cases as a source of pain in procedure-related scars following gynecologic surgery. However, the presence of vulvar endometriosis within a traumatic neuroma has not been documented before. We describe a case of a 42-year-old woman who presented with a chronic vulvar nodule that became swollen, painful, and pruritic 10 years following a Bartholin’s gland excision. Excision of the lesion was performed, and histological analysis revealed a traumatic neuroma with an embedded focus of endometriosis. The patient had complete resolution of her symptoms following excision. Endometriosis within a traumatic neuroma should be considered as a possible diagnosis in a post-operative scar that becomes painful, swollen, or pruritic in a cyclic nature. Surgical excision with routine and immunohistochemical pathologic analysis aids in the successful diagnosis and treatment.

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endometriosis

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