CASE REPORT OF EPISIOTOMY SCAR ENDOMETRIOSIS.

Abstract

Endometriosis is defined as the presence
of endometrial tissue apart from its usual
location (endometrium). It is the second
most prevalent benign gynaecologic disease
in women ofchild bearing age
(incidence of 10-25). Endometriosis predominantly
located on peritoneal surfaces,
but also affects the vagina , vulva,
recto-vaginal septum and perineum, usually
secondary to surgicalor obstetric
trauma. We present a case of a patient
with perineal endometriosis who presented
withvulvodynia and perineal
swelling in the scar of episiotomy within 2
years of childbirth. Excision ofendometriotic
nodule was done and histopathological
examination confirmed scar endometriosis.
Surgical outcome was successful
and the patient was asymptomatic during
subsequentmenstruations and there was
no recurrence.