{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:23:10Z","timestamp":1792120990673,"version":"4.4.0"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":67,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vulvar endometriosis is an exceptionally rare manifestation of extrapelvic endometriosis, particularly when located at the site of a prior episiotomy. Often misdiagnosed as more common vulvar pathologies, these lesions may present with cyclical pain and swelling, mimicking Bartholin\u2032s gland cysts or infected epidermal inclusion cysts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case<\/jats:title>\n                    <jats:p>We report the case of a 25\u2010year\u2010old gravida 3 para 2 woman with long\u2010standing dysmenorrhea, dyspareunia, and a right vulvar mass that fluctuated with her menstrual cycle. Initially presumed to be a Bartholin\u2032s cyst, the lesion failed to respond to antibiotics and sitz baths. MRI revealed a complex vaginal wall cyst without classic signs of pelvic endometriosis. Examination under anesthesia and aspiration of chocolate\u2010colored fluid raised suspicion for an endometriotic lesion. Surgical excision confirmed endometrial glands and stroma with hemosiderin\u2010laden macrophages\u2014consistent with vulvar endometriosis at the site of a right mediolateral episiotomy scar. Postoperative recovery was uneventful, and the patient experienced complete resolution of symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights the diagnostic challenge of vulvar endometriosis in women with prior perineal trauma. Clinicians should maintain a high index of suspicion for endometriosis in cyclical vulvar masses\u2014especially when located along episiotomy scars and unresponsive to conventional treatment. Early recognition and surgical excision can be curative and significantly improve quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crog\/7202665","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T05:47:11Z","timestamp":1773121631000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hidden in the Scar: A Rare Case of Vulvar Endometriosis Mimicking Bartholin\u2032s Cyst at an Episiotomy Site"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0349-7430","authenticated-orcid":false,"given":"Swati","family":"Kumari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Zaradna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valmiki Vijay","family":"Seeraj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1810764"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.07.035"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-196606000-00007"},{"key":"e_1_2_11_4_2","first-page":"191","article-title":"Inguinal Endometriosis: Pathogenetic and Clinical Implications","volume":"78","author":"Candiani G. B.","year":"1991","journal-title":"Obstetrics & Gynecology"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.32677\/ijcr.v8i3.3319"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e20094"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.932493"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/RCT.0b013e3181238362"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bmt.2024.08.002"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v9.i5.1037"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.4236\/ojog.2024.141009"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crog\/7202665","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crog\/7202665","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crog\/7202665","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:16:21Z","timestamp":1774617381000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crog\/7202665"}},"subtitle":[],"editor":[{"given":"Karuna","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crog\/7202665"],"URL":"https:\/\/doi.org\/10.1155\/crog\/7202665","archive":["Portico"],"relation":{},"ISSN":["2090-6684","2090-6692"],"issn-type":[{"value":"2090-6684","type":"print"},{"value":"2090-6692","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-06-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7202665"}}