Botezatu Radu, Turcu-Duminica Ana, Ciobanu Anca Marina, Gica Nicolae, Peltecu Gheorghe, Panaitescu Anca Maria
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
"Filantropia" Clinical Hospital, Bucharest, Romania.
Maedica (Bucur). 2021 Dec;16(4):713-716. doi: 10.26574/maedica.2020.16.4.713.
Endometriosis is a frequent gynecological disease among women of reproductive age, a benign condition with an uncertain etiology, but with multiple theories being proposed as main mechanisms of development. Perineal endometriosis is an uncommon condition, with various theories about its pathogenesis including the contiguous propagation of endometrial tissue over the episiotomy perineal scar. A 36-year-old woman, G2 P2, presented with cyclic inflammation and pain in the episiotomy area, with significant impairment of her daily quality of life. Clinical examination revealed a palpable mass in the episiotomy area and a probable clinical diagnosis of perineal scar endometriosis was considered, with further investigation being recommended. The patient was surgically treated by local excision of the perineal mass and the histopathologic examination of the mass confirmed the diagnosis of perineal endometriosis in the episiotomy scar. Although perineal endometriosis remains a rare condition, it should be considered in all patients with an anterior vaginal delivery and a painful perineal mass during menstrual cycle, a wide excision of the affected tissue remaining the best option for a permanent cure.
子宫内膜异位症是育龄期女性常见的妇科疾病，是一种病因不明的良性病症，但有多种理论被提出作为其主要发病机制。会阴子宫内膜异位症较为罕见，关于其发病机制有多种理论，包括子宫内膜组织沿会阴侧切瘢痕连续蔓延。一名36岁女性，孕2产2，出现会阴侧切区域周期性炎症和疼痛，严重影响其日常生活质量。临床检查发现会阴侧切区域可触及肿块，考虑可能为会阴瘢痕子宫内膜异位症，建议进一步检查。患者接受了会阴肿块局部切除术，肿块的组织病理学检查确诊为会阴侧切瘢痕子宫内膜异位症。尽管会阴子宫内膜异位症仍然罕见，但对于所有经阴道顺产且在月经周期出现会阴疼痛性肿块的患者都应考虑此病，广泛切除受累组织仍是实现永久治愈的最佳选择。
