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Endometriosis of the perineum

Review of the literature and case report
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      Abstract

      • 1.
        1. A review of the literature has disclosed 25 cases of perineal endometriosis.
      • 2.
        2. The reported ages ranged from 23 to 45 years; the average age was approximately 38.
      • 3.
        3. All patients had experienced previous perineal trauma. There were approximately 20 patients whose previous perineal trauma had consisted of episiotomy or laceration associated with parturition. There were 5 parous patients whose perineal symptoms developed subsequent to uterine curettage and colporrhaphy or dilatation and evacuation of the uterus.
      • 4.
        4. Seven patients noted the onset of symptoms within six months of the last incident of perineal trauma; 13 patients noted their symptoms twelve months or more after the last incident of perineal trauma.
      • 5.
        5. Four patients demonstrated recurrences subsequent to excision of the endometriomas.
      • 6.
        6. The twenty-sixth case of perineal endometriosis is reported. This occurred in a 25-year-old woman, ten months after her second vaginal delivery. There was a recurrence five months after excision of the endometrioma.
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