A Rare Case of the Bladder Endometriosis and Overview of the Literature

Year 2024, , 172 - 176, 31.10.2024

Şule Atalay Mert , Berna Dilbaz , Seval Yılmaz Ergani , Tuğba Kınay , Aslı Öcal , Özlem Moraloğlu Tekin

https://doi.org/10.55517/mrr.1466301

Abstract

Endometriosis is a chronic, non-cancerous condition characterized by the growth of endometrial tissue outside the uterus. Isolated involvement of the bladder is rare and often part of a broader deep infiltrating pelvic endometriosis. Bladder endometriosis should be considered in cases of unexplained dysuria and urinary symptoms not clarified by imaging or pelvic examination. Magnetic resonance imaging can be used as a diagnostic aid. This case report presents two patients diagnosed with bladder endometriosis postoperatively. Conservative treatment with gestagen preparations was administered. After 3-6 months of follow-up, ultrasonography and symptom assessment showed no recurrence. Clinicians should be aware of bladder endometriosis as a potential cause of persistent urinary symptoms, given its rarity and often delayed diagnosis.

Keywords

Endometriosis, Infertility, Bladder endometriosis, Cystoscopy, Uterus

Mesane Endometriozis Olguları ve Literatüre Genel Bakış

Abstract

Endometriozis, endometriyal bezlerin uterus boşluğunun dışında yer aldığı kronik ve bening bir hastalıktır. İzole mesane tutulumu, derin infiltre pelvik endometriozisin bir parçası olarak mesane endometriozisi bileşeni olan nadir bir durumdur. Görüntüleme ve pelvik muayene ile açıklanamayan dizüri, üriner semptomları olan olgularında mesane endometriozisi akılda tutulmalıdır. Manyetik rezonans görüntüleme tanıyı desteklemek için kullanılabilir. Bu olgu sunumunda mesane endometriozisi olan iki hasta değerlendirildi. Ameliyat sonrası patolojik inceleme ile kesin tanı konan hastalara gestagen preparatları ile konservatif tedavi uygulandı. 3-6 ay sonraki takibinde ultrasonografik görüntülerde ve semptomlarda nüks izlenmedi. Nadir görülen ve geç tanı alan bir klinik olması nedeniyle klinisyenlerin dirençli üriner sistem semptomları, varlığında mesane endometriozisini akılda tutmaları gerekmektedir.

Keywords

Endometriozis, İnfertilite, Mesane endometriozisi, Sistoskopi, Uterus

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