A rare case of vulvar endometriosis in an adolescent girl

Eyvazzadeh AD, Aimee D. Eyvazzadeh, Yolanda R. Smith, Smith YR, Richard Lieberman, Richard W. Lieberman, Elisabeth H. Quint, Quint EH
Fertility and sterility · 2008 · vol. 91(3) , pp. 929.e9–929.e11 · doi:10.1016/j.fertnstert.2008.10.026 · PMID:19061999 · W2035058763
article OA: bronze CC0 ⤵ 10 in-corpus citations
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This paper describes a rare case of vulvar endometriosis in an adolescent girl.

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Abstract

ObjectiveTo describe a case of vulvar endometriosis in a teenager after a history of vulvar ulcers in the same location.DesignCase report.SettingUniversity medical center.Patient(s)A 13-year-old girl with a history of vulvar ulcers.Main outcome measure(s)NoneResult(s)A 13-yr-old female presented with painful, open vulvar ulcerations on the inner side of her labia minora. Biopsy revealed dermatitis with ulceration. One year later she noted an ulcer and blood in her undergarments. Biopsy results were consistent with endometriosis. Five years later, the lesions persisted and bled during menses. A bilateral labial excision was performed. Pathology again revealed endometriosis.Conclusion(s)Vulvar endometriosis is extremely unusual. This rare case of vulvar endometriosis in the same location as a previous vulvar ulcer is most likely due to ectopic transplantation of endometrial cells during a menstrual cycle. Excision is considered definitive treatment.

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Condition tags

endometriosis

MeSH descriptors

Dermatitis Endometriosis Ulcer Vulvar Diseases Adolescent Biopsy Dermatitis Dermatitis Dermatitis Endometriosis Endometriosis Endometriosis Female Gynecologic Surgical Procedures Humans Menstruation Pain Pain Treatment Outcome Ulcer

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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