Successful pregnancy in a case of bladder and ovary endometriosis following cystoscopy‐assisted laparoscopic resection

Fumihisa Chishima, Go Ichikawa, Katsuhiko Sato, Toshiyuki Ishige, Takashi Ishige, Masahiko Sugitani, Tatsuo Yamamoto
Journal of Obstetrics and Gynaecology Research · 2014 · vol. 40(6) , pp. 1803–1806 · doi:10.1111/jog.12397 · PMID:24888953 · W2098970742
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Laparoscopic resection of bladder and ovarian endometriosis, guided by cystoscopy, preceded successful pregnancy in a patient with a history of infertility.

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Abstract

A 34-year-old, gravida 0 para 0 Japanese woman visited a regional hospital complaining of dysmenorrhea, hematuria during menstruation, and right inguinal pain. She had a history of dysmenorrhea and three prior rounds of in vitro fertilization with embryo transfer, which were all with transfers of cryopreserved-thawed single embryos in natural cycles, resulting in no pregnancy. An ultrasound revealed a large 2 × 1-cm nodule between the bladder and the anterior wall of the uterus and a 3-cm cystic lesion in the right adnexal area. A combined cystoscopic and laparoscopic resection of the bladder endometriosis and cystectomy of the right endometrioma were carried out. A single ultrasound-guided transfer of a cryopreserved-thawed embryo in the cleavage stage was performed 4 months postoperatively, which resulted in an uncomplicated pregnancy. The combined, single procedure was minimally invasive and eradicated the lesions that may have caused the infertility.

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Condition tags

mesh:D004715endometriosisendometriomabladder_endometriosisdysmenorrheainfertility

MeSH descriptors

Endometriosis Ovarian Diseases Urinary Bladder Diseases Adult Cystoscopy Endometriosis Female Gynecologic Surgical Procedures Humans Laparoscopy Ovarian Diseases Pregnancy Urinary Bladder Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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