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Bladder Endometriosis Mimicking TCC - A Case Report.
Asish Gupta1, Atul Bhatnagar1, B N Seth2
1Consultant, Department of Gen and Laproscopic Surgery, Sant Parmanand Hospital , Civil Lines Delhi, India .
Journal of Clinical and Diagnostic Research : JCDR
|April 5, 2016
Summary
This study highlights a rare case of bladder endometriosis, a condition where endometrial tissue grows outside the uterus. Early diagnosis via imaging and biopsy is crucial for distinguishing it from other serious conditions like bladder cancer.
Area of Science:
- Gynecology
- Urology
- Pathology
Background:
- Endometriosis, the abnormal growth of endometrial tissue outside the uterus, typically affects women aged 30-40.
- While common, urinary tract involvement is rare, with the bladder being the most frequent site.
- Hormonal fluctuations, particularly estrogen and progesterone, are implicated in its development.
Observation:
- Patients may be asymptomatic or present with pelvic pain, dysmenorrhea, or irregular menstruation.
- Ultrasonography, especially during menstruation, can enhance lesion visibility.
- A case of bladder endometriosis presented with severe pelvic pain and an endoluminal mass.
Findings:
- The endoluminal mass on ultrasonography initially suggested transitional cell carcinoma.
- Cystoscopic examination was essential in ruling out malignancy.
- Biopsy during menstruation can aid in definitive diagnosis.
Implications:
- This case underscores the importance of considering endometriosis in the differential diagnosis of bladder masses.
- Accurate diagnosis is critical to avoid misdiagnosis and ensure appropriate patient management.
- Further research into the mechanisms and diagnostic modalities for urinary tract endometriosis is warranted.
