The treatment of choice is total wide excision, which is diagnostic and therapeutic. scar episiotomy endometriosis. Perineal endometriosis is a rare entity which can be explained by direct implantation of endometriotic cells over the fresh episiotomy wound and subsequent development of scar endometriosis. Endometriosis at scar site can be found after cesarean, hysterectomy, amniocentesis, laparoscopic trocar tract, or perineal episiotomy. Endometriosis in an episiotomy scar is very rare (occurring in only 0.00007% of births) Despite numerous studies, considerable controversy remains regarding the pathogenesis, natural history, and optimal treatment of this disorder . Endometriosis of the perineum and vulva are extremely rare with the most common sites being episiotomy scars. Case Discussion. Episiotomy scar endometriosis is essentially a clinical diagnosis. One should keep high index of suspicion when a woman in reproductive age group presents a mass and pain in scar region following an episiotomy. Perineal endometriosis is a rare disease characterized by the presence of ectopic endometrial stroma and glands in the perineum. Scar endometriosis is likely to be caused …
It is best treated with wide local excision. Because serum tumor markers were still within normal ranges and the possible intraoperative complications, surgery was performed in a General Surgery Clinic, removing 4 nodules. The incidence has been estimated to be only 0.03–0.15 % of all cases of endometriosis [].The incidence of episiotomy scar endometriosis was estimated to be 15 of 2028 consecutive deliveries [].Patil et al. Most commonly observed in the episiotomy scar after normal vaginal deliveries, perineal endometriosis is not often considered in the differential diagnosis of perineal masses.
Scar endometriosis is a rare entity. 1 Episiotomy scar endometriosis is a relatively uncommon condition and usually diagnosed late because of unawareness about the condition among general surgeons, resulting in prolonged suffering to the patient and increased morbidity.
Episiotomy Scar Endometriosis Diagnosed on Cytology - A Case Report Dnyanada Kokode *, Anne Wilkinson, Sadhana Mahore and Trupti Dongre Department of Pathology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur-440019, India Received date: June 11, 2016; Accepted date: June 20, 2017; Published date: June 30, 2017 ABSTRACT Endometriosis, the presence of functioning …