Pregnancy-induced vesical decidualized endometriosis simulating a bladder tumor
Boris Chertin1, Orly Prat, Amicur Farkas
1Department of Urology, Shaare Zedek Medical Center, Faculty of the Health Science, Ben Gurion University, P.O. Box 3235, Jerusalem 91031, Israel. bchertin@yahoo.com
Summary
This case study details a rare instance of pregnancy-associated decidual changes in bladder endometriosis, mimicking a bladder tumor. The condition was successfully diagnosed and managed without recurrence.
Area of Science:
- Gynecology
- Urology
- Pathology
Background:
- Vesical endometriosis is a rare condition, comprising about 1% of all endometriosis cases.
- Pregnancy can induce decidual changes in endometriosis, potentially altering its clinical presentation.
Observation:
- A 36-year-old woman presented with symptoms suggestive of a rapidly growing bladder tumor.
- Cystoscopy revealed a solitary, red-brown, nodular lesion in the urinary bladder.
Findings:
- Biopsy confirmed the lesion to be decidualized endometriosis of the urinary bladder.
- This represents the first reported case of pregnancy-associated decidual changes within bladder endometriosis.
Implications:
- Accurate diagnosis of bladder endometriosis with decidual changes is crucial, especially during pregnancy.
- This case highlights the importance of considering endometriosis in the differential diagnosis of bladder tumors.
- Prompt diagnosis and management can lead to favorable outcomes and prevent recurrence.
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