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Endocervicosis of the bladder: a case report
Begüm Ozel1, Charles Amezcua, Charles Ballard
1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles 90033, USA. ozel@usc.edu
The Journal of Reproductive Medicine
|December 21, 2005
Summary
Endocervicosis of the bladder, a rare condition involving cervical tissue in the bladder wall, can cause pelvic pain and urinary symptoms. Surgical removal leads to symptom resolution.
Area of Science:
- Urogynecology
- Pathology
Background:
- Endocervicosis of the bladder is a rare, benign lesion characterized by mucinous endocervical epithelium within the detrusor muscle.
- It is often mistaken for other bladder conditions.
Observation:
- A 48-year-old woman with a history of cesarean sections presented with dysuria and pelvic pain.
- Pelvic ultrasound, cystoscopy, and MRI revealed a bladder mass.
- Surgical exploration confirmed endocervicosis of the bladder wall.
Findings:
- Pathological examination of the bladder wall confirmed endocervicosis.
- The patient remained symptom-free six months post-surgery.
Implications:
- Endocervicosis of the bladder is a rare condition that can be challenging to diagnose clinically and pathologically.
- Consider endocervicosis in women with pelvic pain, dysuria, and urinary frequency.
- Gynecologists should be aware of this entity for appropriate diagnostic and surgical management.
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