Endometriosis Developing In The Episiotomy Scar

Year 2013, Volume: 10 Issue: 37, 1555 - 1557, 01.01.2013

Murat Bakacak Mehmet Sühha Bostancı Gökhan Karakoç Kıvılcım Gören Zeynep Bakacak Kadir Öymen Hançerlioğlu

Abstract

The patient who had normal labour with mediolateral episiotomy two years ago, had presented with complaint of pain and swelling at the episiotomy scar site. On physical examination, on the scar line with 1 x 1-cmentimeter diameter and 1,5 cm deep nodular, semi-mobile and semisolid mass was observed. The mass was surgically excised. Pathological examination confirmed the diagnosis of endometriosis. Scar endometriosis is a rare condition after vaginal delivery, however ßin t he patients with the mass and pain in perineal region, this condition in the differential diagnosis differential diognosis.

Keywords

Episiotomy, scar, endometriosis

Epizyotomi Skarında Gelişen Endometriozis

Abstract

İki sene önce mediolateral epizyotomi ile normal doğum yapan hasta epizyotomi skarında adet dönemlerinde tekrarlayan ağrı ve şişlik şikayeti ile başvurdu. Yapılan fizik muayenede skar hattı üzerinde 1 x 1 cmlik yarı mobil ve insizyon hattından yaklaşık 1,5 cm derine kadar ilerleyen nodüler semi solid kitle izlendi. Kitle cerrahi olarak eksize edildi. Patolojik inceleme endometriozis tanısını doğruladı. Vajinal doğum sonrasında skar endometriozisi nadir görülen bir durum olmakla beraber bu durum perineal bölgede kitle ve ağrı şikayeti olan hastaların ayırıcı tanısında mutlaka düşünülmelidir.

Keywords

Epizyotomi, skar, endometriozis

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