Abstract
Endometriosis is a benign and common disorder that is characterized by ectopic endometrium outside the uterus. Extrapelvic endometriosis, like of the vulva, is rarely seen. We report a case of a 47-year-old woman referred to our clinic due to complaints of a vulvar mass and periodic swelling of the mass at the time of menstruation. During surgery, the cyst ruptured and a chocolate-colored liquid escaped onto the surgical field. The cyst was extirpated totally. Hipstopathological examination showed findings compatible with endometriosis. She was asked to follow-up after three weeks. The patient had no complaints and the incision field was clear at the follow-up.
Highlights
Endometriosis is a gynecological disease that affects 10 % of reproductive-age women and is associated with dysmenorrhea, dyspareunia, perimenstrual symptoms and infertility[1]
Implantation of endometrial tissues in the vulva, skin, lung and abdominal wall muscle has been reported before[2].We present a case of a patient with vulvar endometrioma that underwent cyst extirpation, and the diagnosis was revealed by the histopathologic examination
Out of 65 women affected by endometriosis, they reported dyspareunia in 36 %, dysmenorrhea in 34 % and infertility in 5 % of the patients
Summary
Endometriosis is a gynecological disease that affects 10 % of reproductive-age women and is associated with dysmenorrhea, dyspareunia, perimenstrual symptoms and infertility[1]. Endometriosis can not be diagnosed with symptoms and physical examination alone and histopathology is the mainstay of the diagnosis. Visualization of the endometriosis implants, taking a sample of suspected area and microscopic examination give a desnitive diagnosis. Microscopic examination of tissue samples may reveal endometrial cells and glands in areas outside the uterus.
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