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Enlarging perineal endometrioma developing after colpoperineorrhaphy
Felix Andreas Strube1, Masooma Niazi, George Lazarou
1Department of Obstetrics and Gynecology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY, USA.
International Urogynecology Journal
|March 25, 2011
Summary
Perineal endometriosis is rare, often linked to childbirth trauma. A case study suggests elective vaginal surgery during menstruation may also cause endometrial cell seeding, leading to perineal endometriomata.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Endometriosis is a common condition, but perineal endometriomata are rare.
- Perineal endometriomata are typically associated with obstetric trauma seeding endometrial cells.
Observation:
- A 45-year-old female presented with a growing perineal mass.
- The patient had a history of colpoperineorrhaphy during menses and prior obstetric perineal trauma.
Findings:
- Surgical excision revealed the mass to be perineal endometriosis.
- Histopathology confirmed the diagnosis of endometriosis in the perineal tissue.
Implications:
- Elective vaginal surgery performed during menstruation may increase the risk of perineal endometriosis.
- This finding highlights a potential iatrogenic cause for perineal endometriomata.
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