M.N. Plotogea, F.A. Secureanu, O.M. Ionescu, S. Ionescu, C. Mehedinţu, M.R. Antonovici
Rezumat: Endometriosis, the second most prevalent benign
gynecologic disease in women of childbearing age, is
defined as the presence of endometrial tissue outside the
uterine cavity. Endometriosis predominantly locates on
peritoneal surfaces, but other various localizations have
been described, either peritoneal or outside the peritoneal
cavity. Scar endometriosis is a rare entity reported up
to 1% of women following obstetric or gynecologic
surgeries. Here, we present a case of a patient with perineal
endometriosis (multiple nodules) in the scar of episiotomy
and involvement of external anal sphincter. Wide dissection
and sphincteroplasty were performed after the removal
of the endometriotic nodules. Afterwards, treatment with
depo-medroxyprogesterone acetate, aromatase inhibitors
alongside noretisteroneacetate and desogestrel had a
satisfactory general and local condition. Both surgical
and hormonal treatments were successful, the patient still
being asymptomatic during subsequent menstruations. Cuvinte cheie: endometriosis, episiotomy, scar endometriosis.