EP31.19: Dysuria during menstruation: it wasn't endometriosis!

30-year-old, para 1 with previous Caesarean section presented with complaint of dysuria during menstruation for the last six months. She had undergone urine microscopy and culture examination which was normal. Transabdominal sonography (figure 1a) revealed a polypoidal mass arising from the posterior wall of the urinay bladder. Transvaginal sonography (figure 1b) showed an echogenic lesion with frond-like surface arising from the posterior wall of the urinay bladder and projecting into its lumen. It showed mild vascularity on colour Doppler (figure 1c). The lesion was seen in the vicinity of the Caesarean scar site. Uterus and ovaries were normal. A diagnosis of bladder endometriosis was suggested. Cystoscpy revealed a yellowish polypoidal lesion arising from the posterior bladder wall. It was resected. Histopathological examination revealed fragments lined by urothelium. Subepithelium showed cystically dilated glands filled with mucinous material. Few Von Brunn's nests were seen. No dysplasia/ malignancy was noted. Features were suggestive of cystitis glandularis cystica. The case illustrates an unusual non- neoplastic cause of bladder mass in a young woman with strong clinical and sonolgical suspicion of bladder endometriosis. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.