Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Case Report

Case Study Case Rep. 2016; 6(3): 83-88


A rare case of urinary bladder endometriosis along with ureteric and ureterovesical junction involvement following cesarean section

Kalpana Singh; Geetam Bharti; Vijoy Kumar; Anshul Garg; Abhay Kumar; Pranay Kumar.

Abstract
Urinary tract endometriosis is a rare condition involving 1% of woman having pelvic endometriosis with predominantly urinary bladder involvement (84%). We report a case of urinary bladder endometriosis presenting as a polypoidal tumor in the left posterolateral wall of the urinary bladder base and left ureteo-vesical junction and left lower ureter. A 25 year old woman with history of two LSCS, presented with chief complaints of severe dysuria, burning micturition, suprapubic pain and left sided flank pain. In Ultrasound and CT Urography there was severe hydronephrosis of left kidney with marked cortical thinning and approx 10×17 mm soft tissue density mass near left uretrovesical junction causing obstruction to left uretric opening leading to left uretric dilatation. Cystoscopy showed 0.3x0.5 cm polypoidal, reddish blue coloured lesion around area of left uretric opening. Transurethral resection of polypoidal lesion was done and HPE showed features of papillary cystitis. Follow up shows recurrence of the mass at same place with mildly asymmetric mural thickening of the posterolateral wall of bladder base and VUJ with grossly hydronephrotic left kidney showing parenchymal thinning and delayed and reduced excretion of contrast in collecting system in CT urography. Exploration followed by complete excision of the mass from the left lower ureter and urinary bladder with left ureteroneocystostomy was done.Histopathological examination of excised mass was suggestive of endometriosis. Subsequently she was put on hormonal therapy on which she is doing well. Clinicians should suspect urinary tract endometriosis in woman in reproductive age group, presenting with urinary symptoms, especially following Cesarean section.Thorough history, physical examination, and imaging can potentially help in the diagnosis. Main goals of the treatment should be preservation of renal function, relief of obstruction and prevention of recurrence.

Key words: bladder endometriosis;cesarean section;ureteroneocyctostomy;Ureteral endometriosis;obstructive uropathy



Share this Article


Advertisement
Archives of Clinical and Experimental Surgery (ACES)

SUBMIT YOUR ARTICLE NOW


ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Article Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons