{"id":"https://openalex.org/W7224349444","doi":"https://doi.org/10.18203/2320-1770.ijrcog20264035","title":"Vulvar endometriosis away from a previous episiotomy scar mimicking a vulvar boil: a case report","display_name":"Vulvar endometriosis away from a previous episiotomy scar mimicking a vulvar boil: a case report","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224349444","doi":"https://doi.org/10.18203/2320-1770.ijrcog20264035"},"language":"en","primary_location":{"id":"doi:10.18203/2320-1770.ijrcog20264035","doi":"https://doi.org/10.18203/2320-1770.ijrcog20264035","is_oa":true,"landing_page_url":"https://doi.org/10.18203/2320-1770.ijrcog20264035","pdf_url":"https://www.ijrcog.org/index.php/ijrcog/article/download/17629/10807","source":{"id":"https://openalex.org/S2764444635","display_name":"International Journal of Reproduction Contraception Obstetrics and Gynecology","issn_l":"2320-1770","issn":["2320-1770","2320-1789"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Reproduction, Contraception, Obstetrics and Gynecology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.ijrcog.org/index.php/ijrcog/article/download/17629/10807","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5086381088","display_name":"Shipra Sarkar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1301507905","display_name":"Tata Motors (India)","ror":"https://ror.org/00b1tsa05","country_code":"IN","type":"company","lineage":["https://openalex.org/I1301507905","https://openalex.org/I4210086519"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Shipra Sarkar","raw_affiliation_strings":["Department of Obstetrics and Gynaecology Tata Motors Hospital, TELCO Colony, Jamshedpur, Jharkhand India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology Tata Motors Hospital, TELCO Colony, Jamshedpur, Jharkhand India","institution_ids":["https://openalex.org/I1301507905"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5160111082","display_name":"Ankita Saha","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1301507905","display_name":"Tata Motors (India)","ror":"https://ror.org/00b1tsa05","country_code":"IN","type":"company","lineage":["https://openalex.org/I1301507905","https://openalex.org/I4210086519"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Ankita Saha","raw_affiliation_strings":["Department of Obstetrics and Gynaecology Tata Motors Hospital, TELCO Colony, Jamshedpur, Jharkhand India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology Tata Motors Hospital, TELCO Colony, Jamshedpur, Jharkhand India","institution_ids":["https://openalex.org/I1301507905"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1301507905"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88805287,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"15","issue":"11","first_page":"4675","last_page":"4677"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10935","display_name":"Endometriosis Research and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10935","display_name":"Endometriosis Research and Treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12096","display_name":"Ectopic Pregnancy Diagnosis and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vulvar-endometriosis","display_name":"vulvar endometriosis","score":1.0},{"id":"https://openalex.org/keywords/episiotomy","display_name":"episiotomy","score":0.8090000152587891},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.75},{"id":"https://openalex.org/keywords/labia-majora","display_name":"labia majora","score":0.7860000133514404},{"id":"https://openalex.org/keywords/cyclical-pain","display_name":"cyclical pain","score":0.574999988079071},{"id":"https://openalex.org/keywords/surgical-excision","display_name":"surgical excision","score":0.9309999942779541},{"id":"https://openalex.org/keywords/perineal-trauma","display_name":"perineal trauma","score":0.7440000176429749},{"id":"https://openalex.org/keywords/extrapelvic-endometriosis","display_name":"extrapelvic endometriosis","score":0.828000009059906}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.961899995803833},{"id":"https://openalex.org/C2777362633","wikidata":"https://www.wikidata.org/wiki/Q1137446","display_name":"Episiotomy","level":3,"score":0.8700000047683716},{"id":"https://openalex.org/C2776316342","wikidata":"https://www.wikidata.org/wiki/Q2192288","display_name":"Vulva","level":2,"score":0.7214000225067139},{"id":"https://openalex.org/C2780549859","wikidata":"https://www.wikidata.org/wiki/Q1571008","display_name":"Vulvodynia","level":3,"score":0.6414999961853027},{"id":"https://openalex.org/C2780193287","wikidata":"https://www.wikidata.org/wiki/Q1406501","display_name":"Labia","level":2,"score":0.6254000067710876},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.5782999992370605},{"id":"https://openalex.org/C2781163205","wikidata":"https://www.wikidata.org/wiki/Q105499","display_name":"Perineum","level":2,"score":0.5533000230789185},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5467000007629395},{"id":"https://openalex.org/C2779522080","wikidata":"https://www.wikidata.org/wiki/Q205764","display_name":"Endometriosis","level":2,"score":0.5019999742507935},{"id":"https://openalex.org/C2780801072","wikidata":"https://www.wikidata.org/wiki/Q837512","display_name":"Differential diagnosis","level":2,"score":0.4580000042915344},{"id":"https://openalex.org/C2780136519","wikidata":"https://www.wikidata.org/wiki/Q7161805","display_name":"Pelvic pain","level":2,"score":0.43880000710487366},{"id":"https://openalex.org/C2779686005","wikidata":"https://www.wikidata.org/wiki/Q3740798","display_name":"Rectovaginal fistula","level":3,"score":0.4122999906539917},{"id":"https://openalex.org/C2777700855","wikidata":"https://www.wikidata.org/wiki/Q18211693","display_name":"Vaginal disease","level":3,"score":0.40299999713897705},{"id":"https://openalex.org/C50965678","wikidata":"https://www.wikidata.org/wiki/Q2724302","display_name":"Abnormality","level":2,"score":0.3849000036716461},{"id":"https://openalex.org/C83674893","wikidata":"https://www.wikidata.org/wiki/Q7583620","display_name":"Introitus","level":3,"score":0.3792000114917755},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.3573000133037567},{"id":"https://openalex.org/C2908825957","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecological Examination","level":2,"score":0.34049999713897705},{"id":"https://openalex.org/C2911206564","wikidata":"https://www.wikidata.org/wiki/Q2192288","display_name":"Vulvar Diseases","level":3,"score":0.3327000141143799},{"id":"https://openalex.org/C2779967601","wikidata":"https://www.wikidata.org/wiki/Q211159","display_name":"Groin","level":2,"score":0.30889999866485596},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.2913999855518341},{"id":"https://openalex.org/C2777744392","wikidata":"https://www.wikidata.org/wiki/Q5880","display_name":"Vagina","level":2,"score":0.28200000524520874},{"id":"https://openalex.org/C3020547009","wikidata":"https://www.wikidata.org/wiki/Q1070952","display_name":"Histopathological examination","level":2,"score":0.2793000042438507},{"id":"https://openalex.org/C2781369713","wikidata":"https://www.wikidata.org/wiki/Q763803","display_name":"Pelvic examination","level":2,"score":0.27869999408721924},{"id":"https://openalex.org/C183021626","wikidata":"https://www.wikidata.org/wiki/Q4620674","display_name":"Sex organ","level":2,"score":0.2782000005245209},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.27799999713897705},{"id":"https://openalex.org/C2778408130","wikidata":"https://www.wikidata.org/wiki/Q6679974","display_name":"Vaginal delivery","level":3,"score":0.25920000672340393},{"id":"https://openalex.org/C2778303017","wikidata":"https://www.wikidata.org/wiki/Q7998643","display_name":"Wide local excision","level":2,"score":0.2547999918460846},{"id":"https://openalex.org/C3020063470","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgical excision","level":2,"score":0.2522999942302704}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.18203/2320-1770.ijrcog20264035","doi":"https://doi.org/10.18203/2320-1770.ijrcog20264035","is_oa":true,"landing_page_url":"https://doi.org/10.18203/2320-1770.ijrcog20264035","pdf_url":"https://www.ijrcog.org/index.php/ijrcog/article/download/17629/10807","source":{"id":"https://openalex.org/S2764444635","display_name":"International Journal of Reproduction Contraception Obstetrics and Gynecology","issn_l":"2320-1770","issn":["2320-1770","2320-1789"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Reproduction, Contraception, Obstetrics and Gynecology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.18203/2320-1770.ijrcog20264035","doi":"https://doi.org/10.18203/2320-1770.ijrcog20264035","is_oa":true,"landing_page_url":"https://doi.org/10.18203/2320-1770.ijrcog20264035","pdf_url":"https://www.ijrcog.org/index.php/ijrcog/article/download/17629/10807","source":{"id":"https://openalex.org/S2764444635","display_name":"International Journal of Reproduction Contraception Obstetrics and Gynecology","issn_l":"2320-1770","issn":["2320-1770","2320-1789"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Reproduction, Contraception, Obstetrics and Gynecology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224349444.pdf","grobid_xml":"https://content.openalex.org/works/W7224349444.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W3047028301","https://openalex.org/W3116156571","https://openalex.org/W3162855639","https://openalex.org/W3173996412","https://openalex.org/W4384563850"],"related_works":["https://openalex.org/W7134847367","https://openalex.org/W2311331714","https://openalex.org/W1959956319","https://openalex.org/W2607170954","https://openalex.org/W2908727394","https://openalex.org/W4223569159","https://openalex.org/W7214624650","https://openalex.org/W4416313263","https://openalex.org/W2183311284","https://openalex.org/W1540630699"],"abstract_inverted_index":{"Vulvar":[0,181],"endometriosis":[1,182],"is":[2,11,210,228],"an":[3,229],"uncommon":[4],"form":[5],"of":[6,28,45,117,179,190,220],"extra":[7],"pelvic":[8],"endometriosis.":[9,171],"It":[10],"frequently":[12],"associated":[13],"with":[14,53,73,107,123,148,155,204,225],"previous":[15,29,215],"perineal":[16,113,221],"trauma":[17],"or":[18,115,193,217],"episiotomy,":[19],"although":[20],"lesions":[21,38],"may":[22,33],"occasionally":[23],"occur":[24],"away":[25,96,212],"from":[26,97,213],"sites":[27],"trauma.":[30,222],"The":[31,101],"condition":[32],"mimic":[34],"other":[35,218],"common":[36],"vulvar":[37,56,64,170,195],"and":[39,105,125,145,164,232],"therefore":[40],"requires":[41],"a":[42,54,63,69,82,151,191,201,214],"high":[43],"index":[44],"suspicion.":[46],"A":[47],"40-year-old":[48],"woman,":[49],"para":[50],"1,":[51],"presented":[52],"painful":[55,192],"swelling":[57],"that":[58],"was":[59,103,160,173],"initially":[60],"treated":[61],"as":[62],"boil.":[65],"She":[66],"had":[67,143],"undergone":[68],"full-term":[70],"vaginal":[71],"delivery":[72],"right":[74,92],"mediolateral":[75],"episiotomy":[76,99,216],"8":[77],"years":[78],"earlier.":[79],"Examination":[80],"revealed":[81],"small,":[83],"approximately":[84],"1\u20132":[85],"cm":[86],"haemorrhagic":[87],"cystic":[88],"lesion":[89,102,142,209],"on":[90],"the":[91,98,111,118,138,141,187,208],"labia":[93],"majora,":[94],"distinctly":[95],"scar.":[100],"tender":[104],"mobile,":[106],"no":[108,174],"attachment":[109],"to":[110],"underlying":[112],"muscles":[114],"abnormality":[116],"overlying":[119],"skin.":[120],"Initial":[121],"treatment":[122],"antibiotics":[124],"topical":[126],"antifungal":[127],"therapy":[128],"did":[129],"not":[130],"result":[131],"in":[132,186],"improvement.":[133],"On":[134],"subsequent":[135],"presentation":[136],"around":[137],"premenstrual":[139],"period,":[140],"enlarged":[144],"developed":[146],"bleeding,":[147],"symptoms":[149,199],"showing":[150],"clear":[152],"cyclical":[153,202],"relationship":[154,203],"menstruation.":[156],"Complete":[157,223],"surgical":[158],"excision":[159,224],"performed":[161],"under":[162],"sedation":[163],"local":[165],"anaesthesia.":[166],"Histopathological":[167],"examination":[168],"confirmed":[169],"There":[172],"recurrence":[175],"during":[176],"1":[177],"year":[178],"follow-up.":[180],"should":[183],"be":[184],"considered":[185],"differential":[188],"diagnosis":[189],"recurrent":[194],"lesion,":[196],"particularly":[197],"when":[198,207],"show":[200],"menstruation,":[205],"even":[206],"located":[211],"site":[219],"histopathological":[226],"confirmation":[227],"effective":[230],"diagnostic":[231],"therapeutic":[233],"approach.":[234]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-10-30T00:00:00"}