Recurrent perineal scar endometriosis: A case report
Vimee Bindra1, Nikitha Reddy2, C Archana Reddy1
1Endometriosis Centre, Apollo Health City, Hyderabad 500033, India.
Case Reports in Women'S Health
|October 25, 2022
Summary
Episiotomy scar endometriosis, a rare complication of childbirth, causes significant perineal pain. Wide local excision with clear margins is the definitive treatment for this condition, offering pain relief and improved quality of life.
Area of Science:
- Obstetrics and Gynecology
- Surgical Pathology
Background:
- Endometriosis is characterized by endometrial tissue outside the uterus.
- Episiotomy scar endometriosis occurs in 0.06-0.7% of vaginal deliveries.
Observation:
- A 28-year-old woman presented with severe perineal pain and swelling due to episiotomy scar endometriosis.
- Physical examination revealed a 3-4 cm tender nodule in the left posterolateral distal vagina.
- The nodule extended to the ischial tuberosity and pudendal vessels.
Findings:
- The patient presented with the classic diagnostic triad of perineal endometriosis.
- Wide local excision with a 1 cm clear margin of healthy tissue was performed.
Implications:
- Increased awareness among medical practitioners can lead to earlier diagnosis and intervention.
- Surgical excision with free margins is the definitive treatment for perineal endometriosis.
- Timely intervention improves patient quality of life by providing complete pain relief.
