Tekrarlayan Disürinin Nadir Bir Sebebi; Mesane Yerleşimli Endometriozis; Olgu Sunumu

Year 2019, Volume: 14 Issue: 1, 49 - 52, 01.02.2019

Caner Ediz , Muhammed Temel , Ferhat Ateş Sedat Çakmak Hüseyin Hayıt Serkan Akan , Suna Şahin Ediz Ömer Yılmaz

https://doi.org/10.33719/yud.531392

Abstract

Primer mesane endometriozisi nadirdir ve sebebi tam olarak bilinememektedir. Bu makalede primer mesane endometriozisi nedeniyle transüretral rezeksiyon uygulanmış 37 yaşındaki bir bayan hastayı sunuyoruz. Hastanın başvuru şikâyetleri 4 aydır menstrüel siklusla ilişkili hematüri, disüri ve pollaküriydi. Kliniğimizde yapılan sistoskopik ve radyolojik değerlendirme sonrasında kitlenin transüretral olarak rezeksiyonuna karar verildi. Operasyonda 23*21 mm’lik solid kitle eksize edildi. Hastanın sistoskopi ile yapılan postoperatif izleminde 6. aya dek nüks izlenmedi.

Keywords

Endometriozis , Hematüri , Mesane

A Rare Cause of Recurrent Dysuria; Endometriosis of the bladder; Case Report

Abstract

Primary bladder endometriosis is rare and the cause is not fully known. In this article, we present a 37-year-old female patient who underwent transurethral resection for primary bladder endometriosis. The patient’s complaints were hematuria, dysuria and pollakuria associated with menstrual cycle for 4 months. After cystoscopic and radiological evaluation in our clinic, transurethral resection of the mass was decided. A 23*21 mm diameter solid bladder mass was excised by transurethral resection. In the postoperative follow-up of the patient by cystoscopy, no recurrence was observed until 6 months.

Keywords

Endometriosis , Hematuria , Urinary Bladder

References

• 1. Cornilie F, et al. Deeply infiltrating pelvic endomet- riosis: histology and clinical significance. Fertil Steril 1990;53:978—83.
• 2. Carmen Maccagnano, Federico Pellucchi, Lorenzo Rocc- hini, Massimo Ghezzi, Vincenzo Scattoni, Francesco Mon- torsi, Patrizio Rigatti, Renzo Colombo. Diagnosis and tre- atment of bladder endometriosis: state of the art. Urol Int 2012;89:249-258.
• 3. Zugor V, Krot D, Rösch WH, Schrott KM, Schott GE, Endometriosis of the ureter and urinary bladder. Urologe.
• 4. Klein S, D’Hooghe T, Meuleman C, Dirksen C, Dunselman G, Simoens S. What is the societal burden of endometriosis- associated symptoms? a prospective Belgian study. Reprod Biomed Online 2014;28:116-24.
• 5. Seaman HE, Ballard KD, Wright JT, de Vries CS. Endometriosis and its coexistence with irritable bowel syndrome and pelvic inflammatory disease: findings from a national case- control study--Part 2. BJOG 2008;115:1392-6.
• 6. Moore J, Copley S, Morris J, Lindsell D, Golding S, Ken- nedy S. A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis. Ultrasound Obstet Gynecol 2002;20:630-4.
• 7. Dallaudière B, Salut C, Hummel V, Pouquet M, Piver P, Ro- uanet JP, Maubon A. MRI atlas of ectopic endometriosis. Diagn Interv Imaging 2013;94:263-80.
• 8. Krüger K, Gilly L, Niedobitek-Kreuter G, Mpinou L, Ebert AD. Bladder endometriosis: characterization by mag- netic resonance imaging and the value of documenting ureteral involvement. Eur J Obstet Gynecol Reprod Biol 2014;176:39-43.
• 9. Carmen Maccagnano, Federico Pellucchi, Lorenzo Rocc- hini, Massimo Ghezzi, Vincenzo Scattoni, Francesco Mon- torsi, Patrizio Rigatti, Renzo Colombo. Diagnosis and tre- atment of bladder endometriosis: state of the art. Urol Int 2012;89:249-258.