Pregnancy-induced vesical decidualized endometriosis simulating a bladder tumor

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This case report describes pregnancy-associated decidual changes in bladder endometriosis presenting as a rapidly growing bladder tumor in a 36-year-old woman.

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This paper reports the first described case of pregnancy-associated decidual changes within vesical (urinary bladder) endometriosis that clinically mimicked a rapidly growing bladder tumor. A 36-year-old woman underwent cystoscopy with cold cup biopsy and fulguration of a solitary red-brown nodular bladder lesion, which histologically proved to be decidualized endometriosis. The lesion was managed around delivery, and postdelivery follow-up was uneventful with no recurrence diagnosed. This paper is centrally about endometriosis—specifically pregnancy-induced decidualized urinary bladder endometriosis presenting as a tumor-like lesion.

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Abstract

Vesical endometriosis accounts for approximately 1% of all discovered cases of endometriosis. We report the first case of a 36-year-old woman with pregnancy-associated decidual changes within bladder endometriosis that are clinically presented as a rapidly growing bladder tumor. Cystoscopy, with subsequent cold cup biopsy and fulguration, revealed a solitary, red-brown, nodular lesion, which turned to be a decidualized endometriosis of the urinary bladder. Delivery and postdelivery follow-up was uneventful and no recurrence was diagnosed.
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Abstract

Vesical endometriosis accounts for approximately 1% of all discovered cases of endometriosis. We report the first case of a 36-year-old woman with pregnancy-associated decidual changes within bladder endometriosis that are clinically presented as a rapidly growing bladder tumor. Cystoscopy, with subsequent cold cup biopsy and fulguration, revealed a solitary, red-brown, nodular lesion, which turned to be a decidualized endometriosis of the urinary bladder. Delivery and postdelivery follow-up was uneventful and no recurrence was diagnosed. Similar content being viewed by others

References

Shook TE, Nyberg LM (1988) Endometriosis of the urinary bladder. Urology 31:1–6 Yoshida T, Hirai S, Horii Y, Yamaushi T (2001) Granular cell tumor of the urinary bladder. Int J Urol 8:29 Vara AR, Ruzics EP, Moussabeck O, Martin DC (1990). Endometrioid adenosarcoma of the bladder arising from endometriosis. J Urol 143:813–815 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Chertin, B., Prat, O., Farkas, A. et al. Pregnancy-induced vesical decidualized endometriosis simulating a bladder tumor. Int Urogynecol J 18, 111–112 (2007). https://doi.org/10.1007/s00192-006-0083-0 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00192-006-0083-0

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Pregnancy Complications Urinary Bladder Diseases Adult Decidua Decidua Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Pregnancy Pregnancy Complications Pregnancy Complications Pregnancy Complications Ultrasonography Urinary Bladder Urinary Bladder Urinary Bladder Diseases

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