Razi Journal of Medical Sciences

Background: Endometriosis is one of a benign disease of female genital system, prevalence is 5-10 percent in reproductive age and the pelvis is the most common site for it, extra pelvic Endometriosis is much rare. Vaginal endometriosis is an uncommon and rare finding Between Extra pelvic one that its Prevalence is not clear. In this report we present a rare case of vaginal endometriosis and it`s treatment.

Case Report: This report describes a 35 year-old woman with preumbilical, supra pubic pain and dysmenorrhea up to 10 years and also 6-years history of infertility, who did not receive any treatment during these years.

Finally, by detection of necrotic mass in the posterior fornix of the vagina and probability of cervical myoma, laparoscopy and then laparotomy was performed and the mass was removed. Endometriosis has been reported by the pathologist.

Conclusion: Surgery is a choice of treatment in a person with history of infertility and Endometriosis. Awareness of this rare finding could provide preoperative detection and proper treatment. Thus taking a thorough history of the patient, performing an accurate examination and doing the essential Diagnostic procedures are mandatory.