A rare case: Episiotomy scar endometriosis with anal sphincter involvement

Divya Dewani, Madhuri Gawande, Rasika Pise, Preksha Jain


Endometriosis is defined as the presence of functioning endometrial tissue outside uterine cavity. Scar endometriosis being a rare disease is difficult to diagnose. Incisional or scar endometriosis is an even rarer type with an incidence of less than 1%. The quoted episiotomy scar endometriosis incidence is about 0.06-0.07%. Present case is of a 38years old female, married since 15years with one para. She presented with cyclical pain and swelling at episiotomy site. She underwent surgical excision of mass which was suggestive of endometriosis in histopathology.


Keywords: Scar endometriosis, Episiotomy scar endometriosis, Anal sphincter reconstruction

Full Text:



Teresa Tam, Stella Huang. Perineal endometriosis in an episiotomy scar: case report and review of literature. Journal of Endometriosis and Pelvic Pain Disorders, vol. 4 issue 2, Apr-Jun 2012, page 57-108.

Lutrek k, Barcz E. Bablok L, Wierzbicki Z. Giant recurrent perineal endometriosis in an episiotomy scar- a case report. Ginekologia Polska Journal; August 1 2013;84(8);726-9.

Mustafa Demir, Askin Yildiz, Irfan Ocal, Mehmet Hakan Yatimdar, Deryakilic, Ozcan Yavasi, et al. Endometriosis in episiotomy scar; a case report. Journal of cases Obstetrics Gynecology 2014(1);8-10.

Mustafa Kapianoglu, Dilek Kaya Kaplanoglu, Ceren Dincer Ata, Selim Buyukkurt. Obstetric scar endometriosis: Retrospective study of 19 cases and review of literature. International Scholarity Research Notes, Vol. 2014, article ID417042, 5 pages.

Kanellaos I, Kelpis T, Zaraboukas T, Betis D. Perineal endometriosis in episiotomy scar with anal sphincter involvement. Techniques in Coloproctology, Aug 1 2001;5(2);10-8.