New Case Study: Endo … in the buttcrack

Buttcrack

(A quick note from me: I cannot believe I get to update this article, originally written in July 2017 – now I get to add to it in July 2021!)…

Can you imagine cutaneous Endometriosis in your rump! Your crack! The behind!?!

A study published online in June 2017’s edition of the Journal of Gynecology, Obstetrics and Human Reproduction discusses a case of Endometriosis in a very peculiar and very extra-pelvic location: the buttcrack!

A 24-year-old woman in France went to her doctor because over the past 2 years, a spot in her buttcrack would bleed during her period. She also suffered with painful periods, painful sex, diarrhea, and constipation. Upon examination, her doctors found a 3mm blue nodule in her buttcrack.  They immediately suspected cutaneous Endometriosis because of her pain, symptoms, and the fact that it bled during her period.  An MRI seemed to confirm their suspicions, but the patient refused excision of the lesion and no biopsy was conducted.  Instead, she opted for hormonal treatment.  Her choice of treatment offered her some relief.

They authors stress that any blue-ish nodule with similar symptoms be suspected of Endometriosis.  And they also stress the uncertainty with theories on how it ended up…there.  A very interesting thing…and just one more weird place on the body that it can manifest.

In June 2021, the Indian Journal of Surgery published an abstract of a 32-year-old patient who suffered from pain three months after an anal fissure procedure. The pain was located on, you guessed it, her anus. The bunghole. And her pain worsened a few days prior to and after her period. It had started about one month after the fissure surgery. The doctors found a small 2cm x 2cm lump on her anus. The mass was excised and biopsied: an Endometrioma!

(Updated July 1, 2021)

Resources:

Indian Journal of Surgery (Abstract; June 2021) – Beware of Anal Fissure Surgery During Menstruation: Endometrium Inoculation

Journal of Gynecology Obstetrics and Human Reproduction (Abstract; Oct. 2017) – Spontaneous Intergluteal Cleft Endometriosis

~ Again, I am a layman.  I do not hold any college degrees, nor mastery of knowledge.  Please take what I say with a grain of salt.  If curious, do your own research 😉 Validate my writings.  Or challenge them.  And ALWAYS feel free to consult with your physician. Always.  Yours ~ Lisa

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