Endometriosis in Episiotomy Sar Involving Anal Sphincter.

Maeda, Koutaro; Hashimoto, Mitsumasa; Katai, Hitoshi; Koh, Junichi; Yamamoto, Osami; Hosoda, Yasuhiro; Nishino, Ruriko; Horibe, Yoshimune

doi:10.3862/jcoloproctology.46.891

Cited by 3 publications

(4 citation statements)

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“…The first case of perineal endometriosis was reported in 1923 [3]. Total excision appears to be the optimal treatment, but when the anal sphincter is also involved, primary sphincteroplasty is necessary [1,4].…”

Section: Introductionmentioning

confidence: 99%

“…Retrograde menstruation, which was proposed in the 1920s, might provide an explanation of why endometriotic deposits are most commonly found on the peritoneal surfaces of the ovaries and cul-de-sac, and on the uterine surfaces [1]. Transplantation seeding of endometriosis may be the mechanism by which endometriosis develops in episiotomy scars and other abdominal incisions [2].…”

Section: Introductionmentioning

confidence: 99%

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Presentation and management of perineal endometriosis

Zhu

Lang

Wang

et al. 2009

Intl J Gynecology & Obste

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Presentation and management of perineal endometriosis

Zhu

Lang

Wang

et al. 2009

Intl J Gynecology & Obste

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“…1 Extrapelvic endometriosis is defined as endometrioticlike lesions elsewhere in the body such as the intestine, Histological examination showed radically resected endometrial glands with typical stroma, blood, and hemosiderin-laden macrophages, and lymph nodes (Fig. 3).…”

Section: Introductionmentioning

confidence: 99%

Anal Endosonography in the Diagnosis and Management of Perianal Endometriosis: Report of a Case

et al. 2003

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We report a rare case of perianal endometriosis, diagnosed in a 39-year-old woman who presented with a several-day history of a painful mass in the perineum. Perianal examination showed redness and swelling in the right anterior direction. A soft tumor was palpated, but there was no evidence of an episiotomy scar, or of fistula orifices. An anal endosonography in the right anterior direction revealed a sharply defined lesion, 17 x 14 mm in diameter, with high echoic enhancement at its center. The lesion was located along the edge of the external anal sphincter but did not involve it. Based on these endosonographic findings, the tumor was not considered to be an abscess or fistula. We detected its location, and judged it possible to enucleate the tumor under local anesthesia without injuring the anal sphincter. The operation was performed uneventfully and a histological diagnosis of endometriosis was confirmed. Using anal endosonography, we were able to determine the exact anatomic relationship of the lesion in the internal and external sphincter, which substantially influenced the diagnosis and operative procedures.

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“…In the reproductive age group, endometriosis affects 6-10% of all women, 50-60% of those referred for pelvic pain and more than 50% of wo men diagnosed with infertility (4). Although its etiology remains unknown, the mechanism of re trograde menstruation, introduced for the first time by Sampson in the 1920s, could explain why the Douglas cul-de-sac, ovaries and uterus remain the main sites of the endometriotic lesions (5). As an alternative, according to Watanabe, perineal or abdominal scar endometriosis might be the result of a transplantation seeding mechanism (6).…”

mentioning

confidence: 99%

Episiotomy Scar Endometriosis. Case Presentation

2021

Maedica

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Endometriosis is a frequent gynecological disease among women of reproductive age, a benign condition with an uncertain etiology, but with multiple theories being proposed as main mechanisms of development. Perineal endometriosis is an uncommon condition, with various theories about its pathogenesis including the contiguous propagation of endometrial tissue over the episiotomy perineal scar. A 36-year-old woman, G2 P2, presented with cyclic inflammation and pain in the episiotomy area, with significant impairment of her daily quality of life. Clinical examination revealed a palpable mass in the episiotomy area and a probable clinical diagnosis of perineal scar endometriosis was considered, with further investigation being recommended. The patient was surgically treated by local excision of the perineal mass and the histopathologic examination of the mass confirmed the diagnosis of perineal endometriosis in the episiotomy scar.Although perineal endometriosis remains a rare condition, it should be considered in all patients with an anterior vaginal delivery and a painful perineal mass during menstrual cycle, a wide excision of the affected tissue remaining the best option for a permanent cure.

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Endometriosis in Episiotomy Sar Involving Anal Sphincter.

Cited by 3 publications

References 4 publications

Presentation and management of perineal endometriosis

Presentation and management of perineal endometriosis

Anal Endosonography in the Diagnosis and Management of Perianal Endometriosis: Report of a Case

Episiotomy Scar Endometriosis. Case Presentation

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