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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2019; 29(04): 457-461
DOI: 10.4103/ijri.IJRI_366_19
Case Report

Perineal scar endometriosis

S Shanmuga Jayanthan
Departments of Radiology and Imaging Sciences, Meenakshi Hospital, Tanjore, Tamil Nadu, India
,
G Shashikala
Departments of Gynecology, Meenakshi Hospital, Tanjore, Tamil Nadu, India
,
N Arathi
Departments of Pathology, Meenakshi Hospital, Tanjore, Tamil Nadu, India
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Abstract

Endometriosis is defined as the presence of ectopic endometrial tissue outside the uterine cavity. It is a benign condition commonly observed in women of the reproductive age group. It can occur in both pelvic and extra-pelvic sites. Moreover, pelvic endometriosis is relatively common, as compared to extra-pelvic endometriosis. The most frequent site for pelvic endometriosis is ovary. It can also affect rectum, uterosacral ligaments, rectovaginal septum, urinary bladder. Extra-pelvic endometriosis is rare and when it occurs, does so more frequently in surgical scar sites, especially in caesarean section scar. Endometriosis in an episiotomy scar is extremely rare but can lead to significant morbidity in patients due to local infiltration. This condition can be diagnosed by the presence of the classical clinical triad of history of episiotomy, tender nodule at the scar site and cyclical pain. Magnetic resonance imaging (MRI) is a very useful imaging modality to diagnose and assess the deeper extension of the lesion. Herein, we report one such case of episiotomy scar endometriosis in the perineum.

Keywords

Episiotomy scar endometriosis - perineal scar endometriosis - scar endometriosis


Publication History

Received: 18 September 2019

Accepted: 26 November 2019

Article published online:
21 July 2021

© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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