Endometriosis detrusoriana

José María Sánchez Merino, C. Guillán Maquieira, Juan Agustín Galán Ramos
In: Progresos de Obstetricia y Ginecología · 2009 · vol. 52(5) , pp. 294–298 · doi:10.1016/s0304-5013(09)71052-0 · W3023515490
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This case report details a 32-year-old woman diagnosed with bladder detrusor endometriosis based on urinary symptoms, cesarean history, and imaging, highlighting the importance of considering this diagnosis in similar presentations.

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Abstract

Se presenta un caso de endometriosis detrusoriana en una paciente de 32 años con antecedente de cesárea que consultó por síndrome miccional de larga evolución. Se indagó sobre la posible recurrencia del cuadro y su relación con el ciclo menstrual, lo que permitió orientar inmediatamente el diagnóstico y aplicar de forma temprana el tratamiento adecuado, evitando así un sufrimiento prolongado e innecesario a la paciente. Ante el antecedente de cesárea y síndrome miccional recurrente se debe descartar endometriosis detrusoriana, sobre todo si en la ecografía o en la tomografía computarizada se evidencia un engrosamiento de la pared vesical en contacto con el útero. A 32-year-old woman with a history of cesarean section presented with longstanding urinary symptoms. The patient was asked about possible symptom recurrence and its relation with her menstrual cycle, leading us to suspect a diagnosis of bladder detrusor endometriosis. Early diagnosis avoided prolonged and unnecessary patient distress. Bladder detrusor endometriosis should be suspected in patients with a history of cesarean section and recurrent urinary symptoms, especially if ultrasound or computed tomography reveals a thickened bladder wall in contact with the anterior uterine wall.

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endometriosis

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