Document Type : Case Report
Authors
1
ghaem hospital
2
a) Associate Professor, Supporting the Family and the Youth of Population Research Core, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3
Associate Professor, Department of Pathology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4
a) Graduted, Supporting the Family and the Youth of Population Research Core, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5
a) Medical Doctor, Supporting the Family and the Youth of Population Research Core, Mashhad University of Medical Sciences, Mashhad, Iran b) Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
10.22038/jmrh.2024.72229.2112
Abstract
Background & aim: Endometriosis occurs when endometrial tissue grows outside the uterus, with the most common sites being pelvic viscera and peritoneum. Although rare, it can also occur outside the pelvis. Here, we introduce a rare case of unusual presentation of suburethral endometriosis.
Case report: A 26-year-old woman (G2, P2) with eight months history of vaginal bulging and dyspareunia presented to the pelvic floor clinic of an academic hospital in Mashhad, Iran. Physical examination revealed a tender cystic mass measuring 2×2 cm at the anterior vaginal wall just below the urethral opening. Vaginal ultrasonography revealed a cystic lesion with size of 25×15 mm in the anterior vaginal wall. A surgical incision was performed, and brownish sticky fluid was exited from the cyst. The cystoscopic evaluation confirmed an intact urethra and bladder mucosa. Histopathological evaluation was compatible with endometriosis. The patient was symptom-free at the sixth-month postoperative follow-up visit.
Conclusion: Endometriosis should be considered in patients with painful vaginal lesions. Complete surgical excision is an acceptable management in these cases.
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