[Neurinoma in the area of an episiotomy scar. A case report]

Neuromas are caused by lesions of intact nerves. They are defective regenerates and are characterised by benign neoplastic proliferation. Little is known about the presence of neuromas in episiotomy scars or at the vulva. The authors describe the course of a neuroma in an episiotomy scar on the basis of a case report by the Department of Gynaecology of the University of Göttingen. Only few case reports have been published. Preoperative diagnosis is based on suspicion; imaging methods fail to yield relevant information in the majority of cases. The number of undiscovered cases of neuromas after trauma of the perineum/of the vulva, the size of which is often just 1 or a couple of millimetres, may be higher than assumed; quite often a possible organic cause is excluded from the very beginning by assuming the cause was psychosomatic. If diagnosis proves difficult, simple resection of the tissue containing the focal point of the pain is the therapy of choice after detailed patient history exploration and gynaecological examination.