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Isolated Perianal Endometrioma: A Case Report and Literature Review

Patient: Female, 33-year-old Final Diagnosis: Endometriosis Symptoms: Perianal pain • swelling Medication: — Clinical Procedure: — Specialty: Surgery OBJECTIVE: Unusual clinical course BACKGROUND: Endometriosis, a common condition among women of reproductive age and infertile women, occurs when the...

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Autores principales: Hakami, Riyadh, AlMansour, Shahad, Aloraini, Hassan Mohammad, Alturki, Norah I., Alswayyed, Mohammed, Alharbi, Reem A., Alkhayal, Khayal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744504/
https://www.ncbi.nlm.nih.gov/pubmed/34982762
http://dx.doi.org/10.12659/AJCR.934745
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author Hakami, Riyadh
AlMansour, Shahad
Aloraini, Hassan Mohammad
Alturki, Norah I.
Alswayyed, Mohammed
Alharbi, Reem A.
Alkhayal, Khayal
author_facet Hakami, Riyadh
AlMansour, Shahad
Aloraini, Hassan Mohammad
Alturki, Norah I.
Alswayyed, Mohammed
Alharbi, Reem A.
Alkhayal, Khayal
author_sort Hakami, Riyadh
collection PubMed
description Patient: Female, 33-year-old Final Diagnosis: Endometriosis Symptoms: Perianal pain • swelling Medication: — Clinical Procedure: — Specialty: Surgery OBJECTIVE: Unusual clinical course BACKGROUND: Endometriosis, a common condition among women of reproductive age and infertile women, occurs when the endometrium extends outside the uterus. When this endometrial tissue grows and sheds, symptoms will develop. The presentation varies depending on the site involved; however, cyclical pain is among its most common symptoms, along with bleeding and cramping. It is frequently observed in the ovaries and fallopian tubes; in contrast, the anal canal is rarely involved. Here, we report a very unusual presentation of the disease. CASE REPORT: A 33-year-old woman with a history of episiotomy presented to the Emergency Department reporting perianal swelling in the previous year. The swelling was associated with intermittent pain and difficulty passing stool. She reported no fever. On examination, there was a 3×4 cm palpable tender perianal mass extending to the anal sphincter at the 11 o’clock position. Bedside ultrasound revealed a mass. Magnetic resonance imaging showed a hemorrhagic 3×4 cm mass in the right perianal region pressing on and indenting the right aspect of the distal external sphincter. The mass was excised completely with local perianal incision over the mass at 11’o clock. Surgical pathology revealed an isolated endometrioma in the perianal area. CONCLUSIONS: Isolated perianal endometrioma is a rare disease, with only 21 published cases. Its diagnosis is difficult to establish, and a wide range of tests is often needed. Laparoscopic or surgical intervention may be required in cases of rectal endometriosis for an accurate diagnosis. Careful history taking and examination along with a high index of suspicion are necessary to diagnose perianal endometrioma.
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spelling pubmed-87445042022-01-21 Isolated Perianal Endometrioma: A Case Report and Literature Review Hakami, Riyadh AlMansour, Shahad Aloraini, Hassan Mohammad Alturki, Norah I. Alswayyed, Mohammed Alharbi, Reem A. Alkhayal, Khayal Am J Case Rep Articles Patient: Female, 33-year-old Final Diagnosis: Endometriosis Symptoms: Perianal pain • swelling Medication: — Clinical Procedure: — Specialty: Surgery OBJECTIVE: Unusual clinical course BACKGROUND: Endometriosis, a common condition among women of reproductive age and infertile women, occurs when the endometrium extends outside the uterus. When this endometrial tissue grows and sheds, symptoms will develop. The presentation varies depending on the site involved; however, cyclical pain is among its most common symptoms, along with bleeding and cramping. It is frequently observed in the ovaries and fallopian tubes; in contrast, the anal canal is rarely involved. Here, we report a very unusual presentation of the disease. CASE REPORT: A 33-year-old woman with a history of episiotomy presented to the Emergency Department reporting perianal swelling in the previous year. The swelling was associated with intermittent pain and difficulty passing stool. She reported no fever. On examination, there was a 3×4 cm palpable tender perianal mass extending to the anal sphincter at the 11 o’clock position. Bedside ultrasound revealed a mass. Magnetic resonance imaging showed a hemorrhagic 3×4 cm mass in the right perianal region pressing on and indenting the right aspect of the distal external sphincter. The mass was excised completely with local perianal incision over the mass at 11’o clock. Surgical pathology revealed an isolated endometrioma in the perianal area. CONCLUSIONS: Isolated perianal endometrioma is a rare disease, with only 21 published cases. Its diagnosis is difficult to establish, and a wide range of tests is often needed. Laparoscopic or surgical intervention may be required in cases of rectal endometriosis for an accurate diagnosis. Careful history taking and examination along with a high index of suspicion are necessary to diagnose perianal endometrioma. International Scientific Literature, Inc. 2022-01-04 /pmc/articles/PMC8744504/ /pubmed/34982762 http://dx.doi.org/10.12659/AJCR.934745 Text en © Am J Case Rep, 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Hakami, Riyadh
AlMansour, Shahad
Aloraini, Hassan Mohammad
Alturki, Norah I.
Alswayyed, Mohammed
Alharbi, Reem A.
Alkhayal, Khayal
Isolated Perianal Endometrioma: A Case Report and Literature Review
title Isolated Perianal Endometrioma: A Case Report and Literature Review
title_full Isolated Perianal Endometrioma: A Case Report and Literature Review
title_fullStr Isolated Perianal Endometrioma: A Case Report and Literature Review
title_full_unstemmed Isolated Perianal Endometrioma: A Case Report and Literature Review
title_short Isolated Perianal Endometrioma: A Case Report and Literature Review
title_sort isolated perianal endometrioma: a case report and literature review
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744504/
https://www.ncbi.nlm.nih.gov/pubmed/34982762
http://dx.doi.org/10.12659/AJCR.934745
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