Giant recurrent perineal endometriosis in an episiotomy scar – a case report

Katarzyna Luterek, Ewa Barcz, L Bablok, Leszek Bablok, Zbigniew Wierzbicki
Ginekologia polska · 2013 · vol. 84(8) , pp. 726–9 · doi:10.17772/gp/1631 · PMID:24191508 · W2331227460
article OA: gold CC0 ⤵ 10 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes the wide excision of a giant recurrent perineal endometriotic mass in an episiotomy scar, leading to an uneventful recovery and no signs of recurrence three years post-surgery.

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Abstract

The occurrence of perineal endometriotic lesions can be explained by mechanical dissemination and transplantation of endometrial cells. Viable decidual endometrial cells are likely to be transplanted into the episiotomy wounds or perineal tears during normal vaginal delivery and subsequent growth may occur A case of a 33-year old woman with a medical history of recurrent perineal endometriosis was described. An endometriotic giant mass (8 centimeter in diameter) was wide-excised, together with the episiotomy scar. The recovery was uneventful. Three years after the surgery, the patient is symptom-free and with no signs of recurrence or discomfort. According to the literature and our own experience, a complete excision of endometriotic tissue is the treatment of choice. We can conclude that a wide excision is mandatory as it is the only way to prevent tumor recurrence.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Cicatrix Endometriosis Episiotomy Perineum Adult Cicatrix Endometriosis Endometriosis Episiotomy Female Humans Perineum Perineum Treatment Outcome

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 (14)

Cited by (10)

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