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Endometriosis presenting as a urethral diverticulum: a case report.
Aqeel A Chowdhry1, Frank H Miller, Robert A Hammer
1Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA.
The Journal of Reproductive Medicine
|May 12, 2004
Summary
Pelvic pain in women can mimic other conditions. A periurethral lesion initially suspected as a urethral diverticulum was diagnosed as endometriosis, highlighting the importance of considering endometriosis in similar cases.
Area of Science:
- Gynecology
- Urology
- Pathology
Background:
- Pelvic pain is a frequent gynecological complaint in women of reproductive age.
- A broad differential diagnosis for pelvic pain necessitates careful evaluation of clinical presentation, physical examination, and imaging.
- Mimicking pathologies can complicate accurate diagnosis, underscoring the need for vigilance against diagnostic biases.
Observation:
- A 35-year-old woman presented with left lower abdominal pain, dyspareunia, dysmenorrhea, urinary frequency, and recurrent urinary tract infections.
- Physical examination revealed a periurethral mass, and imaging suggested a urethral diverticulum.
- Despite initial findings, surgical exploration identified a vaginal endometriotic cyst.
Findings:
- The clinical presentation, physical examination, and imaging findings were initially indicative of a urethral diverticulum.
- Surgical intervention and subsequent pathological evaluation confirmed the lesion to be endometriosis.
- This case highlights a diagnostic challenge where endometriosis mimicked a urethral diverticulum.
Implications:
- Endometriosis should be included in the differential diagnosis for women presenting with pelvic pain and urinary symptoms.
- Periurethral lesions in women with a history of pelvic pain warrant thorough investigation for endometriosis.
- Accurate diagnosis of pelvic pathologies requires a comprehensive approach, considering less common presentations of endometriosis.