Abstract
Background:
Extrapelvic endometriosis is rare, with vulvar endometriosis being rarer. Spontaneous manifestation is extremely uncommon.
Case:
We report a case of spontaneous vulvar endometriosis of the labium minus in a woman with history of previous cesarean delivery and an incision and drainage procedure for Bartholin's abscess, and discuss the challenges in diagnosis and management.
Results:
A 24-year-old primipara presented with cyclical pain and swelling in the vulva for 6 months. On examination, a firm 3 × 3 cm tender mass was palpated in the right periclitoral region. Wide local excision was performed. Histopathology confirmed vulvar endometriosis.
Conclusion:
Vulvar endometriosis presents both diagnostic and management challenges and should be managed with surgery, close surveillance, and follow-up.
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