Isolated perineal endometriosis? Yes ... an exceptional location
Salma El Houss1, Khadija Laasri1, Zakia El Yousfi1
1Department of Radiology, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco.
Radiology Case Reports
|September 8, 2023
Summary
This report details a rare case of perineal endometriosis in a woman without prior diagnosis. The condition was suspected after an episiotomy and confirmed via imaging and drainage.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Endometriosis is defined as endometrial tissue growth outside the uterus.
- Perineal endometriosis is an infrequent manifestation of this condition, affecting the superficial perineal region.
Observation:
- A 40-year-old woman, with no prior endometriosis history, presented with left perineal swelling 10 months post-episiotomy.
- The swelling was non-inflammatory and afebrile.
- Pelvic MRI revealed a rounded collection in the left perineal area.
Findings:
- The clinical presentation and imaging findings raised suspicion for perineal endometriosis.
- Diagnosis was definitively established following fluid drainage.
Implications:
- This case highlights the importance of considering perineal endometriosis in the differential diagnosis of perineal masses, especially in women with a history of gynecological or obstetric procedures.
- Early recognition and diagnosis are crucial for effective management of this uncommon condition.
