Infiltrating endometriosis of the urinary bladder mimics lower segment myoma of the uterus

Pi Hua Chen, Heng-Kien Au, Li-Wei Chien, Wun Long Tang, Wei-Min Liu

研究成果: 雜誌貢獻文章

摘要

Objective: Bladder endometriosis is a rare disease with variable symptoms. No definite treatment for this disease has been documented due to its rarity. We present a case of bladder endometriosis mimicking a lower segment uterine adenomyoma. Case Report: A 25-year-old woman presented with the complaint of severe dysmenorrhea and suprapubic tenderness of 6 months' duration. Transvaginal ultrasonography showed a lower segment heteroechogenic mass of the uterus. Laparoscopy revealed a mass on the posterior wall of the urinary bladder after dissection of the vesicouterine fold. Cystoscopy confirmed that the lesion was confined to the muscular layer, without involvement of bilateral ureter orifices. Partial cystectomy was performed during exploratory laparotomy. Bladder endometriosis was confirmed by pathology. The patient had an uneventful recovery. The postoperative severity of dysmenorrhea was reduced to half that experienced preoperatively. Conclusion: Women with bladder endometriosis may have no symptoms during urination. A high index of suspicion of bladder endometriosis is necessary when a heteroechogenic mass in the anterior lower segment of the uterus is detected on pelvic ultrasound.
原文英語
頁(從 - 到)375-377
頁數3
期刊Taiwanese Journal of Obstetrics and Gynecology
44
發行號4
出版狀態已發佈 - 十二月 2005

指紋

Myoma
Endometriosis
Uterus
Urinary Bladder
Dysmenorrhea
Adenomyoma
Cystoscopy
Urination
Cystectomy
Ureter
Rare Diseases
Laparoscopy
Laparotomy
Dissection
Ultrasonography
Pathology

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

引用此文

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title = "Infiltrating endometriosis of the urinary bladder mimics lower segment myoma of the uterus",
abstract = "Objective: Bladder endometriosis is a rare disease with variable symptoms. No definite treatment for this disease has been documented due to its rarity. We present a case of bladder endometriosis mimicking a lower segment uterine adenomyoma. Case Report: A 25-year-old woman presented with the complaint of severe dysmenorrhea and suprapubic tenderness of 6 months' duration. Transvaginal ultrasonography showed a lower segment heteroechogenic mass of the uterus. Laparoscopy revealed a mass on the posterior wall of the urinary bladder after dissection of the vesicouterine fold. Cystoscopy confirmed that the lesion was confined to the muscular layer, without involvement of bilateral ureter orifices. Partial cystectomy was performed during exploratory laparotomy. Bladder endometriosis was confirmed by pathology. The patient had an uneventful recovery. The postoperative severity of dysmenorrhea was reduced to half that experienced preoperatively. Conclusion: Women with bladder endometriosis may have no symptoms during urination. A high index of suspicion of bladder endometriosis is necessary when a heteroechogenic mass in the anterior lower segment of the uterus is detected on pelvic ultrasound.",
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AU - Chen, Pi Hua

AU - Au, Heng-Kien

AU - Chien, Li-Wei

AU - Tang, Wun Long

AU - Liu, Wei-Min

PY - 2005/12

Y1 - 2005/12

N2 - Objective: Bladder endometriosis is a rare disease with variable symptoms. No definite treatment for this disease has been documented due to its rarity. We present a case of bladder endometriosis mimicking a lower segment uterine adenomyoma. Case Report: A 25-year-old woman presented with the complaint of severe dysmenorrhea and suprapubic tenderness of 6 months' duration. Transvaginal ultrasonography showed a lower segment heteroechogenic mass of the uterus. Laparoscopy revealed a mass on the posterior wall of the urinary bladder after dissection of the vesicouterine fold. Cystoscopy confirmed that the lesion was confined to the muscular layer, without involvement of bilateral ureter orifices. Partial cystectomy was performed during exploratory laparotomy. Bladder endometriosis was confirmed by pathology. The patient had an uneventful recovery. The postoperative severity of dysmenorrhea was reduced to half that experienced preoperatively. Conclusion: Women with bladder endometriosis may have no symptoms during urination. A high index of suspicion of bladder endometriosis is necessary when a heteroechogenic mass in the anterior lower segment of the uterus is detected on pelvic ultrasound.

AB - Objective: Bladder endometriosis is a rare disease with variable symptoms. No definite treatment for this disease has been documented due to its rarity. We present a case of bladder endometriosis mimicking a lower segment uterine adenomyoma. Case Report: A 25-year-old woman presented with the complaint of severe dysmenorrhea and suprapubic tenderness of 6 months' duration. Transvaginal ultrasonography showed a lower segment heteroechogenic mass of the uterus. Laparoscopy revealed a mass on the posterior wall of the urinary bladder after dissection of the vesicouterine fold. Cystoscopy confirmed that the lesion was confined to the muscular layer, without involvement of bilateral ureter orifices. Partial cystectomy was performed during exploratory laparotomy. Bladder endometriosis was confirmed by pathology. The patient had an uneventful recovery. The postoperative severity of dysmenorrhea was reduced to half that experienced preoperatively. Conclusion: Women with bladder endometriosis may have no symptoms during urination. A high index of suspicion of bladder endometriosis is necessary when a heteroechogenic mass in the anterior lower segment of the uterus is detected on pelvic ultrasound.

KW - Bladder endometriosis

KW - Pelvic ultrasound

KW - Uterine adenomyoma

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