Endometriosis - A Crippling Illness: A Rare Case Of Bladder Endometrioma

Alia Bano, Bano A, Anam Riaz, Riaz A, Saleem S, Samina Saleem
Journal of Ayub Medical College, Abbottabad : JAMC · 2021 · vol. 33(3) , pp. 529–531 · PMID:34487672 · W3196950523
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This case report describes a 30-year-old woman diagnosed with bladder endometrioma after presenting with heavy menstrual bleeding, dysmenorrhea, dyspareunia, urinary hesitancy, and constipation.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-03 · read from full text ⓘ

This case report describes a 30-year-old woman presenting with heavy menstrual bleeding, dysmenorrhea, dyspareunia, urinary hesitancy, and constipation. Initial imaging suggested uterine fibroids, but MRI excluded this diagnosis, leading to laparoscopic exploration that confirmed a bladder endometrioma via histopathology. The authors highlight that while endometriosis commonly causes pelvic pain and infertility, rare presentations like bladder masses require consideration in women of reproductive age. This paper is centrally about endometriosis — specifically the rare presentation of bladder endometrioma causing urinary symptoms.

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Abstract

Endometriosis is a common gynaecological condition affecting 10-12% of general female population. It has variable clinical presentation commonly causing infertility, chronic pelvic pain, and dysmenorrhea. Rare presentation could be a tender cervical/rectal mass therefore should be considered in women of reproductive age group. A 30 years old woman with 1.5 years history of heavy menstrual bleeding with painful menstruation, painful coitus, urinary hesitancy and constipation reported after visiting multiple hospitals and failed medical treatment with pelvic scans showing fibroid uterus. MRI excluded fibroid uterus and laparoscopic exploration of pelvis and subsequent histopathology confirm the mass to be bladder endometrioma.
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Abstract

Endometriosis is a common gynaecological condition affecting 10-12% of general female population. It has variable clinical presentation commonly causing infertility, chronic pelvic pain, and dysmenorrhea. Rare presentation could be a tender cervical/rectal mass therefore should be considered in women of reproductive age group. A 30 years old woman with 1.5 years history of heavy menstrual bleeding with painful menstruation, painful coitus, urinary hesitancy and constipation reported after visiting multiple hospitals and failed medical treatment with pelvic scans showing fibroid uterus. MRI excluded fibroid uterus and laparoscopic exploration of pelvis and subsequent histopathology confirm the mass to be bladder endometrioma.

Keywords

Endometriosis; Female population; Menstrual bleeding; Bladder endometrioma. Publication types MeSH terms LinkOut - more resources Full Text Sources Medical

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Condition tags

dysmenorrheadyspareuniaendometriosischronic_pelvic_painendometriomainfertility

MeSH descriptors

Dyspareunia Dyspareunia Endometriosis Endometriosis Endometriosis Endometriosis Adult Adult Dysmenorrhea Dysmenorrhea Female Female Humans Humans Pelvic Pain Pelvic Pain Pelvic Pain Urinary Bladder Urinary Bladder

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