Iqbal Mohd, Thumbe Vijay, Dhange Ravish, Chan Sui Yum, Bhalerao Satish
Queen's Hospital, Burton, UK.
Case Rep Gastroenterol. 2009 Nov 25;3(3):414-417. doi: 10.1159/000250787.
Endometriosis of the perianal region is an extremely rare condition usually seen in episiotomy scars and can involve the septum separating vagina and anal canal. The clinician is unlikely to suspect it if there is no scar in the perineum and patient the does not give a history of episiotomy. Moreover it is difficult to suspect when the patient does not report cyclical pain and therefore it is likely to be treated as perianal sepsis. We report the rare case of a 35-year-old woman who presented with recurrent painful nodule of endometriosis of the perianal area without previous episiotomy.
肛周子宫内膜异位症是一种极为罕见的病症，通常见于会阴切开术瘢痕处，可累及分隔阴道和肛管的隔膜。如果会阴处没有瘢痕且患者没有会阴切开术病史，临床医生不太可能怀疑此病。此外，当患者未报告周期性疼痛时也很难怀疑，因此该病很可能被当作肛周脓毒症来治疗。我们报告了一例罕见病例，一名35岁女性，其肛周区域出现复发性疼痛性子宫内膜异位结节，既往无会阴切开术病史。
