Perineal endometrioma occurring during pregnancy: a case report.
BACKGROUND
Perineal endometrioma has been reported in reproductive-aged women following perineal trauma. The common presentation is a perineal mass with cyclic pain coincident with the menstrual cycle in a woman with a history of perineal laceration. Curative treatment is possible with complete surgical excision. No reports of perineal endometrioma occurring during pregnancy have been published before.


METHODS
A case of perineal endometrioma occurred during pregnancy. The patient had a perineal mass that enlarged, with worsening pain.


CONCLUSIONS
A perineal endometrioma may progress during pregnancy. Proper diagnosis is important, and treatment with surgical excision should be considered before attempting subsequent pregnancies.
McCarthy-Keith
Desired M
DM
Beaufort-Jasper-Hampton Comprehensive Health Services, Inc., P.O. Box 357, Highway 170, Ridgeland, SC 29936, USA. dmkeith@bjhchs.com
Coggins
Allahna
A
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D001004:Anus Diseases / Q000175:diagnosis* / Q000601:surgery; D002585:Cesarean Section; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010502:Perineum; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000601:surgery; D011256:Pregnancy Outcome; D011263:Pregnancy Trimester, Third