Perineal Endometriosis in an Episiotomy scar: A Case Report and Review of Literature

In: Gynecology & Obstetrics Case report · 2018 · vol. 04(02) · doi:10.21767/2471-8165.1000066 · W2887783224
article OA: hybrid CC0 ⤵ 4 in-corpus citations
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AI-generated summary by claude@2026-06, 2026-06-09

This case report describes a patient with perineal endometriosis in an episiotomy scar, confirmed by FNAC, and reviews literature on this rare condition.

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Abstract

Introduction: Perineal endometriosis is a rare entity which can be explained by direct implantation of endometriotic cells over the fresh episiotomy wound and subsequent development of scar endometriosis. Case Report: Present patient presented with pain at episiotomy site which is associated with menstruation. Examination during menstruation revealed reddish brown spots with blood oozing from the spots. Clinical diagnosis was confirmed by FNAC. Mass excised and sent for histopathological examination. Conclusion: Although diagnosis essentially remains clinical, preoperative evaluation with FNAC and endo-anal ultrasound can be performed. Wide local excision remains treatment of choice and follow up for recurrence is recommended. Histopathological examination is obligatory to exclude rare possibility of malignant changes.

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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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last seen: 2026-06-04T00:00:01.174412+00:00
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