Bladder Endometriosis: A Case Report and Review of Related Literature

膀胱子宫内膜异位症1例并相关文献复习 Bladder Endometriosis: A Case Report and Review of Related Literature Bladder Endometriosis: A Case Report and Review of Related Literature DOI: 10.12677/ACM.2022.122130, PDF, 被引量 作者: 赵 飞, 吕广伟, 王黎明*：青岛大学附属医院妇科，山东 青岛；宋冰冰：山东省威海市妇幼保健院妇科，山东 威海 关键词: 子宫内膜异位症；膀胱；Endometriosis； Bladder 作者: 赵 飞, 吕广伟, 王黎明*：青岛大学附属医院妇科，山东 青岛；宋冰冰：山东省威海市妇幼保健院妇科，山东 威海 关键词: 子宫内膜异位症；膀胱；Endometriosis； Bladder 摘要: 目的：探讨膀胱子宫内膜异位症的病因及诊治 方法：回顾性分析我院收治膀胱子宫内膜异位症患者临床资料并复习文献。结果：患者为41岁女性，因“查体发现膀胱占位”入院，既往剖宫产史。超声示：膀胱后壁低回声结节，入院后行经尿道膀胱电切术，术后病理示：膀胱子宫内膜异位症，术后随访6月未见复发。结论：膀胱子宫内膜异位症临床少见，孤立性膀胱内异症易误诊为膀胱肿瘤，治疗原则应尽可能去除病灶。 Abstract: Objective: To explore the etiology, diagnosis and treatment of bladder endometriosis. Method: Retrospectively analyze the clinical data of a patient with bladder endometriosis admitted to our hospital and review relevant literature. Results: The patient was a 41-year-old female who was admitted to hospital due to “bladder occupation”. She had a history of cesarean section. Urinary ultrasound showed low echo nodules on the posterior wall of the bladder. Transurethral cystotomy was performed after admission. Postoperative pathology showed bladder endometriosis, and no recurrence was observed during postoperative follow-up for 6 months. Conclusion: Bladder endometriosis is a rare disease. Isolated endometriosis of bladder can be easily misdiagnosed as bladder tumor. The principle of treatment is to remove the lesion as much as possible. 文章引用：赵飞, 宋冰冰, 吕广伟, 王黎明. 膀胱子宫内膜异位症1例并相关文献复习[J]. 临床医学进展, 2022, 12(2): 898-902. https://doi.org/10.12677/ACM.2022.122130 | [1] | Olive, D.L. and Pritts, E.A. (2001) Treatment of Endometriosis. New England Journal of Medicine, 345, 266-275. [Google Scholar] [CrossRef] | | [2] | Chan, C., Goykhman, I. and Horrow, M. (2017) Bladder Endometriosis: A Case Report. Ultrasound Quarterly, 33, 98-100. [Google Scholar] [CrossRef] | | [3] | Gabriel, B., Nassif, J., Trompoukis, P., Barata, S. and Wattiez, A. (2011) Prevalence and Management of Urinary Tract Endometriosis: A Clinical Case Series. Urology, 78, 1269-1274. [Google Scholar] [CrossRef] [PubMed] | | [4] | Comiter, C.V. (2002) Endometriosis of the Urinary Tract. Urologic Clinics of North America, 29, 625-635. [Google Scholar] [CrossRef] | | [5] | Donnez, J., Spada, F., Squifflet, J. and Nisolle, M. (2000) Bladder Endometriosis Must Be Considered as Bladder Adenomyosis. Fertility and Sterility, 74, 1175-1181. [Google Scholar] [CrossRef] | | [6] | Donnez, J., Van Langendonckt, A., Casanas-Roux, F., van Gossum, J.-P., Pirard, C., Jadoul, P., et al. (2002) Current Thinking on the Pathogenesis of Endometriosis. Gynecologic and Obstetric Investigation, 54, 52-62. [Google Scholar] [CrossRef] [PubMed] | | [7] | Chapron, C., Chopin, N., Borghese, B., Foulot, H., Dousset, B., Vacher-Lavenu, M.C., et al. (2006) Deeply Infiltrating Endometriosis: Pathogenetic Implications of the Anatomical Distribution. Human Reproduction, 21, 1839-1845. [Google Scholar] [CrossRef] [PubMed] | | [8] | Maccagnano, C., Pellucchi, F., Rocchini, L., Ghezzi, M., Scattoni, V., Montorsi, F., et al. (2012) Diagnosis and Treatment of Bladder Endometriosis: State of the Art. Urologia Internationalis, 89, 249-258. [Google Scholar] [CrossRef] [PubMed] | | [9] | Leone Roberti Maggiore, U., Ferrero, S., Candiani, M., Somigliana, E., Viganò, P. and Vercellini, P. (2017) Bladder Endometriosis: A Systematic Review of Pathogenesis, Diagnosis, Treatment, Impact on Fertility, and Risk of Malignant Transformation. European Urology, 71, 790-807. [Google Scholar] [CrossRef] [PubMed] | | [10] | Villa, G., Mabrouk, M., Guerrini, M., Mignemi, G., Montanari, G., Fabbri, E., et al. (2007) Relationship between Site and Size of Bladder Endometriotic Nodules and Severity of Dysuria. Journal of Minimally Invasive Gynecology, 14, 628-632. [Google Scholar] [CrossRef] [PubMed] | | [11] | Guerriero, S., Ajossa, S., Minguez, J.A., Jurado, M., Mais, V., Melis, G.B., et al. (2015) Accuracy of Transvaginal Ultrasound for Diagnosis of Deep Endometriosis in Uterosacral Ligaments, Rectovaginal septum, Vagina and Bladder: Systematic Review and Meta-Analysis. Ultrasound in Obstetrics & Gynecology, 46, 534-545. [Google Scholar] [CrossRef] [PubMed] | | [12] | Medeiros, L.R., Rosa, M.I., Silva, B.R., Reis, M.E., Simon, C.S., Dondossola, E.R., et al. (2015) Accuracy of Magnetic Resonance in Deeply Infiltrating Endometriosis: A Systematic Review and Meta-Analysis. Archives of Gynecology and Obstetrics, 291, 611-621. [Google Scholar] [CrossRef] [PubMed] | | [13] | Litta, P., Saccardi, C., D’Agostino, G., Florio, P., De Zorzi, L. and Bianco, M.D. (2012) Combined Transurethral Approach with Versapoint® and Laparoscopic Treatment in the Management of Bladder Endometriosis: Technique and 12 Months Follow-up. Surgical Endoscopy, 26, 2446-2450. [Google Scholar] [CrossRef] [PubMed] | | [14] | Seracchioli, R., Mabrouk, M., Montanari, G., Manuzzi, L., Concetti, S. and Venturoli, S. (2010) Conservative Laparoscopic Management of Urinary Tract Endometriosis (UTE): Surgical Outcome and Long-Term Follow-up. Fertility and Sterility, 94, 856-861. [Google Scholar] [CrossRef] [PubMed] | | [15] | Vignali, M., Bianchi, S., Candiani, M., Spadaccini, G., Oggioni, G. and Busacca, M. (2005) Surgical Treatment of Deep Endometriosis and Risk of Recurrence. Journal of Minimally Invasive Gynecology, 12, 508-513. [Google Scholar] [CrossRef] [PubMed] | | [16] | Ugwumadu, L., Chakrabarti, R., Williams-Brown, E., Rendle, J., Swift, I., John, B., et al. (2017) The Role of the Multidisciplinary Team in the Management of Deep Infiltrating Endometriosis. Gynecological Surgery, 14, Article No. 15. [Google Scholar] [CrossRef] [PubMed] | | [17] | Singh, S.S. and Suen, M.W. (2017) Surgery for Endometriosis: Beyond Medical Therapies. Fertility and Sterility, 107, 549-554. [Google Scholar] [CrossRef] [PubMed] | | [18] | Pérez-Utrilla Pérez, M., Aguilera Bazán, A., Alonso Dorrego, J.M., et al. (2009) Urinary Tract Endometriosis: Clinical, Diagnostic, and Therapeutic Aspects. Urology, 73, 47-51. [Google Scholar] [CrossRef] [PubMed] | | [19] | Cela, V., Obino, M.E., Sergiampietri, C., Simi, G., Papini, F., Pinelli, S., et al. (2017) The Role of Robotics in the Management of Endometriosis. Minerva Ginecologica, 69, 504-516. [Google Scholar] [CrossRef] | | [20] | Chen, S.H., Li, Z.A. and Du, X.P. (2016) Robot-Assisted versus Conventional Laparoscopic Surgery in the Treatment of Advanced Stage Endometriosis: A Meta-Analysis. Clinical and Experimental Obstetrics & Gynecology, 43, 422-426. | | [21] | Fedele, L., Bianchi, S., Zanconato, G., Bergamini, V., Berlanda, N. and Carmignani, L. (2005) Long-Term Follow-up after Conservative Surgery for Bladder Endometriosis. Fertility and Sterility, 83, 1729-1733. [Google Scholar] [CrossRef] [PubMed] |