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Perineal endometrioma in episiotomy incisions: Clinical features and management

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Diseases of the Colon & Rectum

Summary

Four patients, 23–34 years old, who developed endometriomas at the site of an episiotomy 19 months to 11-years postpartum are reported. Pain, swelling and pruritus varying in intensity with the menstrual cycle were present in all. Complete excision is curative. Symptoms of incompletely excised endometriomas may be controlled by local hormonal injections or systemic hormonal manipulation.

The anatomy of the endometrium and its physiologic behavior are reviewed. A concept of WHY endometriomas develop is presented which is compatible with the theories of HOW they occur.

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Authors and Affiliations

  1. Section of Colon and Rectal Surgery, Cook County Hospital, Ward 47, 1825 W. Harrison Street, 60612, Chicago, Illinois

    Ernestine Hambrick M.D., Herand Abcarian M.D. & Durand Smith M.D.

  2. Department of Surgery, University of Illinois Abraham Lincoln School of Medicine, Chicago, Ilinois

    Ernestine Hambrick M.D., Herand Abcarian M.D. & Durand Smith M.D.

Authors
  1. Ernestine Hambrick M.D.
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  2. Herand Abcarian M.D.
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  3. Durand Smith M.D.
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Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, Atlanta, Georgia. June 10 to 14, 1979.

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Hambrick, E., Abcarian, H. & Smith, D. Perineal endometrioma in episiotomy incisions: Clinical features and management. Dis Colon Rectum 22, 550–552 (1979). https://doi.org/10.1007/BF02587001

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  • DOI: https://doi.org/10.1007/BF02587001

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