Abstract

M. Bouh*, Z. Zghari, Y. Essabagh, N. Zeraidi, A. Lakhdar, A. Baidada and A. Kharbach.

ABSTRACT

Endometriosis is the presence of endometrial like tissue outside the uterine cavity, which most commonly affects peritoneal surfaces, ovaries and uterine ligaments. Among the rare localizations of endometriosis on scars, that of the perineum remains exceptional; the origin is often iatrogenic (episiotomy). We report the case of a patient with cyclic pain at the episiotomy scar. With at the examination clinical a mass of 4 cm in diameter at the episiotomy scar. The perineal ultrasound showed a hypoechoic image, heterogeneous, non-vascularized in relation to the episiotomy scar measuring 3.5/3cm. Excision of the lesion was performed and the anatomopathological examination confirmed the diagnosis of endometriosis. The postoperative follow-up was simple, with a 12-month follow-up without recurrence of pain or mass. Through our case and a review of the literature, we insist on the need for clinical diagnosis and treatment in early loading to improve the prognosis of this rare entity.