NEUROMA IN THE REGION OF AN EPISIOTOMY SC AR - A CASE-REPORT

Neuromas are caused by lesions of intact nerves. They are defective re generates and are characterised by benign neoplastic proliferation. Li ttle is known about the presence of neuromas in episiotomy scars or at the vulva. The authors describe the course of a neuroma in an episiot omy scar on the basis of a case report by the Department of Gynaecolog y of the University of Gottingen. Only few case reports have been publ ished. Preoperative diagnosis is based on suspicion; imaging methods f ail to yield relevant information in the majority of cases. The number of undiscovered cases of neuromas after trauma of the perineum/of the vulva, the size of which is often just 1 or a couple of millimetres, may be higher than assumed; quite often a possible organic cause is ex cluded from the very beginning by assuming the cause was psychosomatic . If diagnosis proves difficult, simple resection of the tissue contai ning the focal point of the pain is the therapy of choice after detail ed patient history exploration and gynaecological examination.