Endometriosis presenting as a perianal abscess: case report
Jieun Kim1, Jung-A Yun1, Sangmin Youn1
1Department of Surgery, Centum Surgical Clinic, 142, Anyang-ro, Manan-gu, Anyang-si, Gyeonggi-do 14034, South Korea.
Journal of Surgical Case Reports
|June 5, 2024
Summary
Perianal endometriosis is a rare condition that can mimic a perianal abscess. Surgical excision and histopathological examination confirmed the diagnosis in this case.
Area of Science:
- Gynecology
- Gastroenterology
- Surgical Pathology
Background:
- Endometriosis is a common benign disorder where endometrial tissue grows outside the uterus.
- Perianal endometriosis, specifically, is an exceptionally rare manifestation of the condition.
Observation:
- A patient presented with symptoms initially suggestive of a perianal abscess.
- Transperineal ultrasound revealed a 1.5 cm irregular lesion in the perianal region, without anal sphincter involvement.
Findings:
- Complete surgical excision of the perianal lesion was performed.
- Histopathological examination definitively confirmed the presence of endometriosis.
Implications:
- This case highlights the importance of considering endometriosis in the differential diagnosis of perianal abscesses.
- Accurate diagnosis through imaging and histopathology is crucial for appropriate management of rare endometriosis presentations.
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