Primary vulvar endometriosis in postmenopausal woman: a case report and review of the literature

Rare Clinical Presentation of Postmenopausal Endometriosis: A New Perspective

“…The other symptoms of DIE include renal failure, hydronephrosis, and urinary bleeding [17, 21, 27 -28]. An infrequent presentation of endometriosis has also been featured, like vaginal endometrial cysts and vulvar skin lesions [8,25,29,30]. Due to the diverse clinical manifestations, the endometriosis may resemble a neoplastic lesion.…”

“…transverse colon iron deficiency anemia; Blood in the stool Deval B (2002) [15] colon endometrioma pelvic pain, vaginal discharge, constipation, and a weight loss of 30 kg progressing over a 6month period Goldsmith, P. J. (2009) [18] liver right upper quadrant pain and a cystic liver mass Verbeke, C (1996) [35] liver right epigastric pain Abdallah A.A (2016) [26] gastric endometriosis epigastric pain, left loin pain, nausea Izuishi K (2015) [20] small bowel severe abdominal pain and vomiting Klenov VE (2015) [21] invasive pelvic endometriosis vaginal bleeding, hematuria Petros JG (1992) [22] colonic endometriosis (two cases) colonic obstruction Kempers (1960) [23] intestinal (8 cases) pain Popoutchi P (2008) [24] sigmoid, rectum hematochezia and tenesmus, pelvic pain, liquid feces, pelvic pain Choi JK (2020) [25] primary cutaneous endometriosis of the navel bump in the navel, umbilical pain Abdallah A.A (2016) [26] gastric endometriosis epigastric pain, left loin pain, nausea al-Izzi MS (1989) [27] bladder wall hematuria Plodeck V (2016) [28] pancreas left upper quadrant pain Sarpietro (2022) [29] vulva vulvar lump Corazza M [30] vulva blackish macule and a small central ulcer…”

“…It frequently occurs as a secondary condition following skin trauma, such as after a Caesarean Cesarean section or myomectomy, where endometrial tissue implants on scar tissue in the skin, but there are cases of endometriosis in postmenopausal women without a previous history of surgery [25]. Endometriosis of the perineum and vulva has been documented in the literature, with the most prevalent location being the episiotomy scar, but the primary locations are also known in the literature [27,29,30]. The definitive treatment of cutaneous cases is surgical excision [25].…”