Presentation and management of perineal endometriosis

Zhu, Lan; Lang, Jinghe; Wang, Hanbi; Liu, Zhufeng; Sun, Dawei; Leng, Jinhua; Zhou, Huixuan; Cui, Quancai; Wong, Felix

doi:10.1016/j.ijgo.2009.01.022

Cited by 32 publications

(31 citation statements)

References 8 publications

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“…A case of perineal endometriosis that had spontaneously regressed after a pregnancy was reported, sustaining that fact that it is a hormone-dependent pathology 10 . Th e malignancy rate of endometriosis is cited to be low, between 0.7%-1%, of which 80% occurs in the ovaries 11 . Postoperative follow up, for a period of 18 months, consisted of local bandaging of the wound during menstrual cycles, without local suppuration.…”

Section: Discussionmentioning

confidence: 99%

Rare case of perianal endometriosis complicated with perianal fistula: case report

ANDREI¹,

POPISTEANU²,

A³

et al. 2019

Rev. Med. Mod.

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Perianal endometriosis is a rare pathology which occurs mainly in patients with history of vaginal birth associated with an episiotomy scar. We present the case of a 42 year old patient with history of multiple interventions for right perianal fi stula, accusing pain, purulent secretions and bleeding at the site of the interventions. Biopsies collected were specifi c for endometriosis. In the context of the sphincter involvement, which brings a high risk of incontinence, and the hormone-dependent evolution of this pathology, which tends to regress once menopause is reached, a fi stulotomy was made, with subsequent remission of the purulent secretions, but with the persistence of the bleeding from the region during the menstrual cycle.

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Section: Discussionmentioning

confidence: 99%

Rare case of perianal endometriosis complicated with perianal fistula: case report

ANDREI¹,

POPISTEANU²,

A³

et al. 2019

Rev. Med. Mod.

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“…According to this theory, endometriosis results from the metastatic implantation of endometrial tissue from retrograde menstruation that is due to endometrial tissue refluxes through the fallopian tube during menstruation and is then deposited on the peritoneal surface or pelvic organs. Other possible means of metastatic spread includes the transport of endometrial cells to distant sites from the pelvis via the bloodstream or lymphatic channels and iatrogenic spread during needle biopsy or surgery [3]. Favoring factors of this theory are both uterine mullerian anomalies (according to the classification of the American Fertility Society) and dismenorrhea, considered as a symptom of illness but also a risk factor: it would be The metaplastic theory of Meyer: it's related to metaplastic differentiation of serous surface (coelomatic epithelium) or the remnants of mullerian tissue into endometrium-like tissue under the influence of estrogen.…”

Section: Discussionmentioning

confidence: 99%

Multi-Focal Endometriosis in a Young Woman with Adnexal Para-Mesonephric Cyst: Role of MRI in Surgical Planning

Albarello¹,

Deriu²

2015

J Preg Child Health

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“…Endometriosis is a common disease in women and is characterized by the presence of ectopic functional endometrial tissue as an inflammatory condition [1]. Endometriosis can occur at any location, but the incidence of perineal endometriosis is rare and is usually associated with previous episiotomy or other forms of vulvar surgeries [2]. Its mechanism may be the transplantation seeding of endometriosis [3].…”

Section: Introductionmentioning

confidence: 99%

Comparison of clear cell carcinoma and benign endometriosis in episiotomy scar - two cases report and literature review

Wang

Sun

2020

BMC Women's Health

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Background: Malignant endometriosis in an episiotomy scar is rare; only seven cases have been reported previously. Here, we compare two cases of benign endometriosis and clear cell carcinoma. Case presentation: The first case was a 54-year-old woman who presented with a large perineal lesion in her episiotomy scar with high 18F-fluorodeoxyglucose uptake. This location had a history of endometriosis many years ago. She underwent radical excision of the mass and bilateral inguinal lymph node dissection. Histological and immunohistochemical analysis confirmed the presence of clear cell carcinoma arising from endometriosis. Assisted radiotherapy was performed after surgery due to a positive lymph node. No recurrence was detected over a 1-year follow-up period. The second case deals with a 3 × 2 cm mass in the episiotomy scar of a 33-year-old woman. Part of the anal sphincter was resected because of the close proximity of the lesion. Because the disease lay very close to the anus, she received anal sphincter reconstruction combined with mass excision. Pathology result showed typical endometrial glands and interstitial tissues. Conclusions: Deleterious change only happens in patients experiencing perineal endometriosis. Complete excision is crucial for this form of disease; sometimes impairment of the anal sphincter is also necessary. Patients with malignancy required a combination of treatments in order to improve their prognosis.

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Presentation and management of perineal endometriosis

Abstract: Perineal endometriosis can be diagnosed on the basis of clinical features and surgical excision is the treatment of choice. The recurrence rate of perineal endometriosis is related to sphincter involvement making preoperative evaluation of anal sphincter important.

Cited by 32 publications

References 8 publications

Rare case of perianal endometriosis complicated with perianal fistula: case report

Rare case of perianal endometriosis complicated with perianal fistula: case report

Multi-Focal Endometriosis in a Young Woman with Adnexal Para-Mesonephric Cyst: Role of MRI in Surgical Planning

Comparison of clear cell carcinoma and benign endometriosis in episiotomy scar - two cases report and literature review

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