title: Perineal scar endometriosis: a comparison of two cases.
abstract: Perineal scar endometriosis is a devastating illness with grave consequences. An early diagnosis is imperative as a delayed diagnosis results in extension of the disease process causing increasing damage to adjoining structures like the anal sphincter and rectum. A late recognition of the disease also prolongs the agony of the patient owing to its being a very painful condition. Two cases are presented of parous women in their early thirties who had episiotomy scars preceding the development of endometriosis. The cases were treated by a perineal incision and removal of suspicious structures. However, a recurrent endometrioma was formed in one case, which had to be excised again. In the other case, symptoms of recurrence had begun, which subsided after a dose of GnRh analogue (leuprolide acetate 3.75 mg). Both patients are on follow-up and are fine until now.
authors.affiliation: Department of Gynaecology, Chotu Ram Hospital, Rohtak, Haryana, India. deeptijain62@gmail.com
authors.forename: Deepti
authors.initials: D
authors.lastname: Jain
mesh_terms: D000328:Adult; D002921:Cicatrix / Q000601:surgery*; D042241:Early Diagnosis; D004715:Endometriosis / Q000175:diagnosis* / Q000601:surgery; D004841:Episiotomy; D005260:Female; D006801:Humans; D010502:Perineum / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery
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