A rare case of vulvar endometriosis in an adolescent girl
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.
aDepartment of Obstetrics and Gynecology, School of Medicine, University of Michigan, Ann Arbor, Michigan
bDepartment of Pathology, School of Medicine, University of Michigan, Ann Arbor, Michigan
Reprint 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).
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.
ABSTRACT