title: Painful, traumatic neuroma of an episiotomy scar: a case report.
abstract: BACKGROUND
  Neuroma of the vulva is a rare pathologic condition. Only 2 case reports on it exist.
  
  
  METHODS
  We report the first case of traumatic neuroma of the episiotomy site in the English-language literature in a patient who presented with superficial dyspareunia. The neuroma was successfully managed by excison.
  
  
  CONCLUSIONS
  It is questionable whether the paucity of cases in the medical literature is due to true rarity, underreporting or underdiagnosis. It is therefore extremely important to address the extent of the problem in vulvar pain syndromes by including this condition in the differential diagnosis.
authors.affiliation: Department of Obstetrics and Gynaecology, Southend Hospital National Health Service Trust, Westcliff-on-Sea, UK. hewa.dharmarathna@southend.nhs.uk
authors.forename: Hewa M G P K
authors.initials: HM
authors.lastname: Dharmarathna
authors.forename: Nidhi
authors.initials: N
authors.lastname: Tripathi
authors.forename: Peter
authors.initials: P
authors.lastname: Atkinson
mesh_terms: D000328:Adult; D002921:Cicatrix; D003937:Diagnosis, Differential; D004841:Episiotomy; D005260:Female; D006801:Humans; D009463:Neuroma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010147:Pain Measurement; D014846:Vulvar Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery