Official websites use. Share sensitive information only on official, secure websites. Aloraini gmail. Endometriosis, a common condition among women of reproductive age and infertile women, occurs when the endometrium extends outside the uterus.
When this endometrial tissue grows and sheds, symptoms will develop. The presentation varies depending on the site involved; however, cyclical pain is among its most common symptoms, along with bleeding and cramping. It is frequently observed in the ovaries and fallopian tubes; in contrast, the anal canal is rarely involved. Here, we report a very unusual presentation of the disease. A year-old woman with a history of episiotomy presented to the Emergency Department reporting perianal swelling in the previous year.
The swelling was associated with intermittent pain and difficulty passing stool. She reported no fever. Bedside ultrasound revealed a mass. Surgical pathology revealed an isolated endometrioma in the perianal area. Isolated perianal endometrioma is a rare disease, with only 21 published cases. Its diagnosis is difficult to establish, and a wide range of tests is often needed.
Laparoscopic or surgical intervention may be required in cases of rectal endometriosis for an accurate diagnosis. Careful history taking and examination along with a high index of suspicion are necessary to diagnose perianal endometrioma. Endometriosis occurs when the lining of the uterus, the endometrium, grows in other places such as the fallopian tubes, along the pelvis, or in the ovaries [ 1 ].
When this lining breaks down, it usually has nowhere to go, causing heavy menstrual periods and severe cramps. It most commonly affects women aged 25โ35 years.
