El Houss Salma, Laasri Khadija, El Yousfi Zakia, El Halfi Ismail, Nassar Ittimade, Billah Nabil Moatassim
Department of Radiology, Ibn Sina University Hospital, Mohamed V University, Rabat, Morocco.
Radiol Case Rep. 2023 Sep 1;18(11):4022-4025. doi: 10.1016/j.radcr.2023.07.072. eCollection 2023 Nov.
Endometriosis is a nonmalignant condition characterized by the growth of endometrial tissue outside the uterus. Perineal endometriosis, an uncommon occurrence, involves the presence of endometrial tissue in the superficial perineum. In this report, we present a unique case of a 40-year-old woman with no known history of endometriosis. She had undergone an episiotomy 10 months prior and presented with swelling in the left perineal region, with no signs of inflammation or fever. To investigate the condition, a pelvic MRI was performed, revealing a rounded collection in the left perineal area, leading to the suspicion of perineal endometriosis based on the patient's pain pattern and medical history. The diagnosis was subsequently confirmed after drainage.
子宫内膜异位症是一种非恶性疾病，其特征是子宫内膜组织在子宫外生长。会阴子宫内膜异位症较为罕见，指的是浅表会阴处存在子宫内膜组织。在本报告中，我们呈现了一例独特病例，患者为一名40岁女性，既往无子宫内膜异位症病史。她在10个月前接受了会阴切开术，现左侧会阴区域出现肿胀，无炎症或发热迹象。为调查病情，进行了盆腔磁共振成像（MRI）检查，结果显示左侧会阴区域有一个圆形肿物，根据患者的疼痛模式和病史，怀疑为会阴子宫内膜异位症。引流后诊断得以证实。
