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Perianal Endometriosis: An Uncommon Site for a Common Problem
Endometriosis is the presence of uterine glands and stroma outside of the uterus. It is highly prevalent in women of reproductive age. It is usually found in the pelvis, with most cases being found on the peritoneum, ovaries, or deep in the pelvis. Extraperitoneal endometriosis is uncommon. Perianal...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559834/ https://www.ncbi.nlm.nih.gov/pubmed/37809144 http://dx.doi.org/10.7759/cureus.44840 |
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author | McComb, Katie Barghash, Mohammed Eltayef, Saleh |
author_facet | McComb, Katie Barghash, Mohammed Eltayef, Saleh |
author_sort | McComb, Katie |
collection | PubMed |
description | Endometriosis is the presence of uterine glands and stroma outside of the uterus. It is highly prevalent in women of reproductive age. It is usually found in the pelvis, with most cases being found on the peritoneum, ovaries, or deep in the pelvis. Extraperitoneal endometriosis is uncommon. Perianal endometriosis has an incidence of only 0.2%. We present the case of a 37-year-old woman with recurrent pain and swelling in the perineum at the site of a previous episiotomy scar. Initial imaging and assessment determined this to be scar tissue. Following re-presentation, it was mistakenly diagnosed as a perianal abscess, and the patient underwent incision and drainage. The wound failed to heal with significant induration. Further assessment of the wound was undertaken under general anesthesia. An excision of the affected area was performed, with histological analysis confirming endometriosis. This case highlights that extra-peritoneal endometriosis is a rare but treatable cause of recurrent, cyclical pelvic pain and swelling in the perineum. A high index of clinical suspicion is required due to its ability to mimic other pathologies, including abscesses and cysts. The primary management of perianal endometriosis is surgical excision. Where complete excision is not possible, medical management with hormone therapy should be considered. |
format | Online Article Text |
id | pubmed-10559834 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-105598342023-10-08 Perianal Endometriosis: An Uncommon Site for a Common Problem McComb, Katie Barghash, Mohammed Eltayef, Saleh Cureus Obstetrics/Gynecology Endometriosis is the presence of uterine glands and stroma outside of the uterus. It is highly prevalent in women of reproductive age. It is usually found in the pelvis, with most cases being found on the peritoneum, ovaries, or deep in the pelvis. Extraperitoneal endometriosis is uncommon. Perianal endometriosis has an incidence of only 0.2%. We present the case of a 37-year-old woman with recurrent pain and swelling in the perineum at the site of a previous episiotomy scar. Initial imaging and assessment determined this to be scar tissue. Following re-presentation, it was mistakenly diagnosed as a perianal abscess, and the patient underwent incision and drainage. The wound failed to heal with significant induration. Further assessment of the wound was undertaken under general anesthesia. An excision of the affected area was performed, with histological analysis confirming endometriosis. This case highlights that extra-peritoneal endometriosis is a rare but treatable cause of recurrent, cyclical pelvic pain and swelling in the perineum. A high index of clinical suspicion is required due to its ability to mimic other pathologies, including abscesses and cysts. The primary management of perianal endometriosis is surgical excision. Where complete excision is not possible, medical management with hormone therapy should be considered. Cureus 2023-09-07 /pmc/articles/PMC10559834/ /pubmed/37809144 http://dx.doi.org/10.7759/cureus.44840 Text en Copyright © 2023, McComb et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Obstetrics/Gynecology McComb, Katie Barghash, Mohammed Eltayef, Saleh Perianal Endometriosis: An Uncommon Site for a Common Problem |
title | Perianal Endometriosis: An Uncommon Site for a Common Problem |
title_full | Perianal Endometriosis: An Uncommon Site for a Common Problem |
title_fullStr | Perianal Endometriosis: An Uncommon Site for a Common Problem |
title_full_unstemmed | Perianal Endometriosis: An Uncommon Site for a Common Problem |
title_short | Perianal Endometriosis: An Uncommon Site for a Common Problem |
title_sort | perianal endometriosis: an uncommon site for a common problem |
topic | Obstetrics/Gynecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559834/ https://www.ncbi.nlm.nih.gov/pubmed/37809144 http://dx.doi.org/10.7759/cureus.44840 |
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