Akademik Veri Yönetim Sistemi
Jinekoloji ve Obstetrik Dergisi, cilt.21, sa.4, ss.241-243, 2007 (Scopus)
Endometriosis is defined as presence of endometrial glands and stroma located outside uterus. The most frequent extrauterine involvement is in pelvic viscera and periton. Extrapelvic endometriosis is a rare disease. Endometrial cells usually reach gynaecologic (vulva, vagen, servix) and non-gynaecologic (bowel, lung, skin, lymphatics, nerves and brain) areas via vascular or lyhmphatic dissemination. A 28-year old woman who became pregnant seven time, with no living child was admitted to the clinic with a history of painful lump in perineal region. She hadn't any concomitant disease. Her 6 pregnancy ended in fifth months of pregnancy. Her last pregnancy was 4 years before. She has received oral contraceptives for 3 years. On physical examination, there was a tender, immobile lump in 2 cm dimention located within the right mediolateral ephisiotomy scar tissue. Transvaginal ultrasonography revealed normal uterus and polycistic overs. CA-125 level was 47.8 U/ml (normal range, 0-35 U/ml). Following patient permission, this lesion was excised under local anesthesia, applied pathologic examination. Endometriosis should be kept in mind for the diagnosis of painful lumps of perineal region in women who had previous history of vaginal birth and ephisiotomy.