A Case of Endometriosis at the Site of Episiotomy Scar.

Kang, In Gu; Kang, Chun Soo; Park, Jeong Keun

Case Report

Korean Journal of Obstetrics & Gynecology 2002;45(7):1229-1232.
Published online July 1, 2002.

A Case of Endometriosis at the Site of Episiotomy Scar.

In Gu Kang, Chun Soo Kang, Jeong Keun Park

Department of Obstetrics & Gynecology, Kwang Hye General Hospital, Pusan, Korea.

Abstract

Endometriosis at the site of episiotomy scar following vaginal delivery is rare condition among the extrapelvic endometriosis implantation. We have experienced a case of episiotomy scar endometriosis. The precise anatomical location of the endometriotic lesion is confirmed using preoperative anal endosonogarphy. We believe anal endosonography to be essential when history, digital examination, and proctoscopy are not conclusive in the differential diagnosis of perianal pain or mass. The treatment of choice is complete surgical excision of the lesion and the surgical excision usually obtain permanent cure. We report a case of endometriosis at the site of episiotomy scar.

Key Words: Endometriosis, Episiotomy