A case of endometriosis in episiotomy scar with anal sphincter involvement and extension into ischiorectal fossa

Abstract

Episiotomy scar endometriosis is characterized by presence of endometrial tissue (glands and stroma) and is a rare condition. It may also extend and involve the anal sphincter. The ideal treatment is wide excision to prevent recurrence but it may cause fecal incontinence, if the anal sphincter is involved. We describe here a case with much deeper extension into ischiorectal fossa. She was treated with wide local excision and primary sphincteroplasty. She has remained free of recurrence up to 12 months follow-up. © 2014, Jaypee Brothers Medical Publishers (P) Ltd. All rights reserved.