A rare case of perineal endometriosis with anal sphincter involvement

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dc.contributor.authorPriyanka, Bhadanaen_US
dc.contributor.authorKiran, Abhaen_US
dc.contributor.authorMalla, Veena Ganjuen_US
dc.date.accessioned2020-10-16T08:03:11Z
dc.date.available2020-10-16T08:03:11Z
dc.date.issued2020-03
dc.description.abstractPerineal 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. Perineal scar endometriosis incidence is reported to be 0.3% to 1%. 28 years old, P1L1, presented with pain and swelling near episiotomy site which is associated with menstruation. Examination during menstruation revealed swelling was tender, erythematous and slightly increased in size. Clinical diagnosis of scar endometriosis was made after clinical examination. Mass excised and sent for histopathological examination. Although diagnosis essentially remains clinical, preoperative evaluation with perineal ultrasound and MRI was performed. Wide local excision remains treatment of choice and follow up for recurrence is recommended. Histopathological examination is obligatory to exclude rare possibility of malignant changes.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia Hospital, New Delhi, Indiaen_US
dc.identifier.citationPriyanka Bhadana, Kiran Abha, Malla Veena Ganju. A rare case of perineal endometriosis with anal sphincter involvement. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Mar; 9(3): 1268-1270en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/207540
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20200912en_US
dc.subjectDyspareuniaen_US
dc.subjectDysmenorroeaen_US
dc.subjectEndometriosisen_US
dc.subjectPerineal endometriosisen_US
dc.subjectScar endometriosisen_US
dc.subjectWide local excisionen_US
dc.titleA rare case of perineal endometriosis with anal sphincter involvementen_US
dc.typeJournal Articleen_US
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