Fertility and Sterility
Volume 91, Issue 3 , Pages 929.e9-929.e11, March 2009

A rare case of vulvar endometriosis in an adolescent girl

  • Aimee D. Eyvazzadeh, M.D.

      Affiliations

    • Department of Obstetrics and Gynecology, School of Medicine, University of Michigan, Ann Arbor, Michigan
    • ,
  • Yolanda R. Smith, M.D., M.S.

      Affiliations

    • Department of Obstetrics and Gynecology, School of Medicine, University of Michigan, Ann Arbor, Michigan
    • ,
  • Richard Lieberman, M.D.

      Affiliations

    • Department of Obstetrics and Gynecology, School of Medicine, University of Michigan, Ann Arbor, Michigan
    • Department of Pathology, School of Medicine, University of Michigan, Ann Arbor, Michigan
    • ,
  • Elisabeth H. Quint, M.D.

      Affiliations

    • Department of Obstetrics and Gynecology, School of Medicine, University of Michigan, Ann Arbor, Michigan
    • Corresponding Author InformationReprint requests to: Elisabeth H. Quint, M.D., Department of Obstetrics and Gynecology, University of Michigan, 1100 E. Medical Center Drive, Ann Arbor, MI 48105 (FAX: 734-647-9727).

Received 14 April 2008; received in revised form 9 October 2008; accepted 17 October 2008. published online 04 December 2008.

Objective

To describe a case of vulvar endometriosis in a teenager after a history of vulvar ulcers in the same location.

Design

Case report.

Setting

University medical center.

Patient(s)

A 13-year-old girl with a history of vulvar ulcers.

Main Outcome Measure(s)

None

Result(s)

A 13-yr-old female presented with painful, open vulvar ulcerations on the inner side of her labia minora. Biopsy revealed dermatitis with ulceration. One year later she noted an ulcer and blood in her undergarments. Biopsy results were consistent with endometriosis. Five years later, the lesions persisted and bled during menses. A bilateral labial excision was performed. Pathology again revealed endometriosis.

Conclusion(s)

Vulvar endometriosis is extremely unusual. This rare case of vulvar endometriosis in the same location as a previous vulvar ulcer is most likely due to ectopic transplantation of endometrial cells during a menstrual cycle. Excision is considered definitive treatment.

Key Words: Vulvar endometriosis, adolescent, vulvar ulcer

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 Y.R.S.'s spouse or partner is on the speakers' bureau of Eli Lilly and Forest Laboratories. R.L. is a consultant for Science and Technology International. A.D.E. has nothing to disclose. E.H.Q. has nothing to disclose.

PII: S0015-0282(08)04278-7

doi:10.1016/j.fertnstert.2008.10.026

Fertility and Sterility
Volume 91, Issue 3 , Pages 929.e9-929.e11, March 2009

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