Case Report
BibTex RIS Cite

Year 2020, Volume: 2 Issue: 2, 80 - 83, 29.06.2020

Recep Erin , Yeşim Bayoğlu Tekin , Kübra Baki Erin Deniz Kulaksız

Abstract

Endometriosis refers to the presence of functional endometrial tissue outside the uterine cavity. The most common sites of endometriosis are the ovaries and visceral peritoneal surfaces. Endometriosis may also occur in extrapelvic sites and abdominal or episiotomy scar due to hysterectomy, cesarean section and vaginal birth. Perineal endometriosis is defined as the presence of endometrial tissues in the perineum. A-35-year old, G2P2 woman with a history of two vaginal births was admitted to our hospital with a complaint of perineal pain and mass. She has been symptomatic for five years following her last vaginal birth. Her pain was located in her mediolateral episiotomy scar. She reported worsening pain during menstruation. The examination revealed a semi-mobile, soft mass measuring 2.5x2x2 cm at the episiotomy scar. Surgical excision of the mass was performed, and histopathology revealed perineal endometriosis. Surgical excision of the endometriotic implant is an excellent option to treat perineal endometriosis. Perineal endometriosis should be kept in mind in patients with a perineal mass and pain.

Keywords

Endometriosis Episiotomy Perineal pain Mass

References

  • Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am 1997; 24:235-258.
  • Jubanyik KJ, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am 1997;24:411-440.
  • Chatterjee SK. Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol 1980; 56:81-84.
  • Christos S, Paul Z, Nikolaos M, Konstantinos P, Lambros S, Alexandros M. Abdominal wall endometrioma mimicking an incarcerated hernia: a case report. Int J General Med 2012; 5:569-571.
  • Horton J, DeZee K, Ahnfeldt E, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg 2008; 196:207-212.
  • Bektas H, Bilsel Y, Sari Y, et al. Abdominal wall endometrioma; a 10 year experience and brief review of the literature. J Surg Res 2010; 164:77.
  • Wang HB, Zhu L, Lang JH, et al. Clinical analysis of 30 patients with perineal endometriosis. Zhonghua Yi Xue Za Zhi 2007; 87:1181-1183.
  • Rocío V, Jose L, Maria R, et al. Endometriosis node in Gynaecologic scars: A study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center. BMC Womens Health 2015; 15:13-18.
  • Andolf E, Thorsell M, Kallen K. Caesarean section and risk for endometriosis: a prospective cohort study of Swedish registries. BJOG 2013; 120:1061–1065.
  • Leite GK, Carvalho LF, Korkes H, Guazzelli TF, Kenj G, Viana Ade T. Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature. Sao Paulo Med J 2009; 127:270-277.
  • Zhu Lan, Lang Jinghe, Wang Hanbi, et al. Presentation and management of perineal endometriosis. Int J Gynaecol Obstet 2009; 105:230-232.
  • Li J, Shi Y, Zhou C, Lin J. Diagnosis and treatment of perineal endometriosis: review of 17 cases. Arch Gynecol Obstet 2015; 292:1295-1299.
  • Barisic GI, Krivokapic ZV, Jovanovic DR. Perineal endometriosis in episiotomy scar with anal sphincter involvement: report of two cases and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17:646-649.
  • Tabbara SO, Covell JL, Abbitt PL. Diagn Cytopathol. Diagnosis of endometriosis by fine-needle aspiration cytology. 1991; 7:606-610.
  • Shanmuga Jayanthan S, Shashikala G, Arathi N. Perineal scar endometriosis. Indian J Radiol Imaging 2019; 29:457-461.
  • Chen N, Zhu L, Lang J, et al. The clinical features and management of perineal endometriosis with anal sphincter involvement: a clinical analysis of 31 cases. Hum Reprod 2012; 27:1624-1627.

Epizyotomi skarında gelişen endometriozis: Olgu sunumu

Year 2020, Volume: 2 Issue: 2, 80 - 83, 29.06.2020

Recep Erin , Yeşim Bayoğlu Tekin , Kübra Baki Erin Deniz Kulaksız

Abstract

Fonksiyonel endometrial dokunun uterin kavite dışında bulunmasına endometriozis denir. Over ve viseral peritoneal yüzeyler en sık tutulan yerlerdir. Ekstrapelvik bölgelerde özellikle sezaryen ve histerektomiyi takiben skar bölgelerinde ve epizyotomili vajinal doğum sonrasında perineal endometriozis görülebilir. Perineal bölgede endometrial dokunun bulunması perineal endometriozis olarak adlandırılır. Otuz beş yaşında, G2P2, vajinal yolla iki doğumu olan kadın hasta, perineal bölgede şişlik ve ağrı şikayetiyle hastanemize başvurdu. Semptomları beş yıldır mediolateral epizyotomi skarına uygun yerde, mentrüasyonla artan ağrı şeklinde idi. Muayenede skar hattında 2.5x2x 2 cm boyutlarında, semi-mobil yumuşak kıvamda kitle tespit edildi. Perineal kitle cerrahi olarak çıkartıldı ve patoloji sonucu endometriozis olarak rapor edildi. Perineal endometriozis tedavisinde cerrahi eksizyon iyi bir tedavi alternatifidir. Perineal endometriozis bu bölgede kitle ve ağrı şikayeti olan hastalarda ayırıcı tanıda düşünülmelidir. 

Keywords

Endometriozis Epizyotomi Perineal ağrı Kitle

References

  • Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am 1997; 24:235-258.
  • Jubanyik KJ, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am 1997;24:411-440.
  • Chatterjee SK. Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol 1980; 56:81-84.
  • Christos S, Paul Z, Nikolaos M, Konstantinos P, Lambros S, Alexandros M. Abdominal wall endometrioma mimicking an incarcerated hernia: a case report. Int J General Med 2012; 5:569-571.
  • Horton J, DeZee K, Ahnfeldt E, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg 2008; 196:207-212.
  • Bektas H, Bilsel Y, Sari Y, et al. Abdominal wall endometrioma; a 10 year experience and brief review of the literature. J Surg Res 2010; 164:77.
  • Wang HB, Zhu L, Lang JH, et al. Clinical analysis of 30 patients with perineal endometriosis. Zhonghua Yi Xue Za Zhi 2007; 87:1181-1183.
  • Rocío V, Jose L, Maria R, et al. Endometriosis node in Gynaecologic scars: A study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center. BMC Womens Health 2015; 15:13-18.
  • Andolf E, Thorsell M, Kallen K. Caesarean section and risk for endometriosis: a prospective cohort study of Swedish registries. BJOG 2013; 120:1061–1065.
  • Leite GK, Carvalho LF, Korkes H, Guazzelli TF, Kenj G, Viana Ade T. Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature. Sao Paulo Med J 2009; 127:270-277.
  • Zhu Lan, Lang Jinghe, Wang Hanbi, et al. Presentation and management of perineal endometriosis. Int J Gynaecol Obstet 2009; 105:230-232.
  • Li J, Shi Y, Zhou C, Lin J. Diagnosis and treatment of perineal endometriosis: review of 17 cases. Arch Gynecol Obstet 2015; 292:1295-1299.
  • Barisic GI, Krivokapic ZV, Jovanovic DR. Perineal endometriosis in episiotomy scar with anal sphincter involvement: report of two cases and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17:646-649.
  • Tabbara SO, Covell JL, Abbitt PL. Diagn Cytopathol. Diagnosis of endometriosis by fine-needle aspiration cytology. 1991; 7:606-610.
  • Shanmuga Jayanthan S, Shashikala G, Arathi N. Perineal scar endometriosis. Indian J Radiol Imaging 2019; 29:457-461.
  • Chen N, Zhu L, Lang J, et al. The clinical features and management of perineal endometriosis with anal sphincter involvement: a clinical analysis of 31 cases. Hum Reprod 2012; 27:1624-1627.
There are 16 citations in total.

Details

Primary Language Turkish
Subjects Obstetrics and Gynaecology
Journal Section Case Report
Authors

Recep Erin 0000-0002-9488-5414

Yeşim Bayoğlu Tekin

Kübra Baki Erin This is me 0000-0002-6626-1735

Deniz Kulaksız This is me

Publication Date June 29, 2020
Acceptance Date June 7, 2020
Published in Issue Year 2020 Volume: 2 Issue: 2

Cite

APA Erin, R., Bayoğlu Tekin, Y., Baki Erin, K., Kulaksız, D. (2020). Epizyotomi skarında gelişen endometriozis: Olgu sunumu. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, 2(2), 80-83.
AMA Erin R, Bayoğlu Tekin Y, Baki Erin K, Kulaksız D. Epizyotomi skarında gelişen endometriozis: Olgu sunumu. Türk Kadın Sağlığı ve Neonatoloji Dergisi. June 2020;2(2):80-83.
Chicago Erin, Recep, Yeşim Bayoğlu Tekin, Kübra Baki Erin, and Deniz Kulaksız. “Epizyotomi skarında gelişen Endometriozis: Olgu Sunumu”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi 2, no. 2 (June 2020): 80-83.
EndNote Erin R, Bayoğlu Tekin Y, Baki Erin K, Kulaksız D (June 1, 2020) Epizyotomi skarında gelişen endometriozis: Olgu sunumu. Türk Kadın Sağlığı ve Neonatoloji Dergisi 2 2 80–83.
IEEE R. Erin, Y. Bayoğlu Tekin, K. Baki Erin, and D. Kulaksız, “Epizyotomi skarında gelişen endometriozis: Olgu sunumu”, Türk Kadın Sağlığı ve Neonatoloji Dergisi, vol. 2, no. 2, pp. 80–83, 2020.
ISNAD Erin, Recep et al. “Epizyotomi skarında gelişen Endometriozis: Olgu Sunumu”. Türk Kadın Sağlığı ve Neonatoloji Dergisi 2/2 (June 2020), 80-83.
JAMA Erin R, Bayoğlu Tekin Y, Baki Erin K, Kulaksız D. Epizyotomi skarında gelişen endometriozis: Olgu sunumu. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2020;2:80–83.
MLA Erin, Recep et al. “Epizyotomi skarında gelişen Endometriozis: Olgu Sunumu”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, vol. 2, no. 2, 2020, pp. 80-83.
Vancouver Erin R, Bayoğlu Tekin Y, Baki Erin K, Kulaksız D. Epizyotomi skarında gelişen endometriozis: Olgu sunumu. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2020;2(2):80-3.
 Download Cover Image