Bladder endometriosis-A great masquerader

Shweta Deulkar, Meena Pangarkar, Radhika Pravin Pagey
In: Indian Journal of Case Reports · 2023 · vol. 9(3) , pp. 77–79 · doi:10.32677/ijcr.v9i3.3917 · W4366336440
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This case report describes a young female whose bladder mass, initially suspected as malignancy, was definitively diagnosed as urinary tract endometriosis after immunohistochemistry.

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This case report describes a young female presenting with dysmenorrhea and burning micturition, who was initially misdiagnosed with bladder malignancy based on histopathology. Subsequent immunohistochemical analysis clarified the diagnosis, revealing that the urinary bladder mass was actually endometriosis rather than cancer. The authors highlight the diagnostic challenges associated with this condition, noting that its rare presentation often leads to it being overlooked or mistaken for other pathologies. This paper is centrally about endometriosis — specifically focusing on bladder endometriosis as a masquerader of malignancy.

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Abstract

The bladder is the most common site affected in urinary tract endometriosis. There is a controversy regarding the pathogenesis, clinical management (diagnosis and treatment), impact on fertility, and the risk of malignant transformation of bladder endometriosis. Patients presenting with symptoms typically attributed to endometriosis might go unnoticed because of its infrequent occurrence. We, hereby, report a case of a young female who had complaints of burning micturition and dysmenorrhea. After a thorough evaluation, she was found to have a urinary bladder mass which was subjected to a biopsy. The initial histopathology report came as bladder malignancy but immunohistochemistry proved otherwise and it turned out to be urinary bladder endometriosis.
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Bladder endometriosis-A great masquerader DOI: https://doi.org/10.32677/ijcr.v9i3.3917Keywords: Baldder, Cystitis glandularis, Endometriosis, InfertliltyAbstract The bladder is the most common site affected in urinary tract endometriosis. There is a controversy regarding the pathogenesis, clinical management (diagnosis and treatment), impact on fertility, and the risk of malignant transformation of bladder endometriosis. Patients presenting with symptoms typically attributed to endometriosis might go unnoticed because of its infrequent occurrence. We, hereby, report a case of a young female who had complaints of burning micturition and dysmenorrhea. After a thorough evaluation, she was found to have a urinary bladder mass which was subjected to a biopsy. The initial histopathology report came as bladder malignancy but immunohistochemistry proved otherwise and it turned out to be urinary bladder endometriosis. Downloads Downloads Published Issue Section License Copyright (c) 2023 Shweta Ashok Deulkar, Meena Anand Pangarkar, Radhika Pravin Pagey This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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endometriosisbladder_endometriosisdysmenorrhea

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