Perineal Endometriosis in an Episiotomy scar: A Case Report and Review of Literature
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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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References (15)
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- Endometriosis at Caesarian Section Scar via openalex
- Endometriosis of episiotomy scar: a case report via openalex
- Fine‐needle aspiration cytology of scar endometriosis: Study of seven cases and literature review via openalex
- FNAC diagnosis of Scar endometriosis: A Report of 3 cases with review of literature via openalex
- Incisional Endometriosis: A Rare Case of Painful Scar via openalex
- Perineal Endometriosis at the Site of Episiotomy Scar via openalex
- Perineal scar endometriosis ten years after Miles’ procedure for rectal cancer: Case report and review of the literature via openalex
- W1997004793 via openalex
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- W4285719527 via openalex
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- last seen: 2026-06-04T00:00:01.174412+00:00
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