Abstract
Perineal scar endometriosis is a very rare entity occurring following only about 0.01% of vaginal deliveries and usually reported in the literature as a single case report or small series. A 39-year-old female patient presented with complaints of cyclic pain in perineal region for 1 year, increased during menstruation. Examination revealed a 2×2cm nodular mass with induration felt at the site of episiotomy scar. Based on characteristic history and examination findings, a probable diagnosis of episiotomy scar endometriosis was considered, additional investigations were requested. A wide excision was performed, and histopathology confirmed the diagnosis based on the presence of endometrial glandular epithelium and stroma. Although, Perineal endometriosis is a rare entity. the diagnosis must be evoked in front of cyclic pain at the level of the episiotomy scar.
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