CT and ultrasonographic findings in a patient with endometriosis of the bladder after cesarean section

K. Preidler; H Steiner; Horst M. Sternthal; G. Primus; Dieter Szolar; Robert C. Kern

doi:10.1007/bf00231209

CT and ultrasonographic findings in a patient with endometriosis of the bladder after cesarean section

K. Preidler, H Steiner, Horst M. Sternthal, G. Primus, Dieter Szolar, Robert C. Kern

In: European Radiology · 1994 · vol. 4(2) · doi:10.1007/bf00231209 · W2020557055

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This paper reports the ultrasonographic and CT findings of a patient with bladder wall endometriosis that occurred after a cesarean section.

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This paper reports ultrasonographic and CT imaging findings in a single patient with bladder wall endometriosis occurring after a cesarean section. It frames endometriosis as ectopic endometrial tissue that responds to menstrual endocrine changes and notes that urinary tract involvement is rarer, with diagnosis typically suggested by imaging and clinical findings and confirmed by histopathology. The primary finding is the presentation of the imaging features of bladder endometriosis in this post-cesarean context, with a limitation that the evidence is confined to a single case report and does not provide broader diagnostic performance data. This paper is centrally about endometriosis — specifically, CT and ultrasound findings of bladder wall endometriosis after cesarean section.

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Abstract

We report ultrasonographic and CT findings in a patient with endometriosis of the bladder wall after cesarean section. Endometriosis is defined as ectopic endometrial tissue which responds to the endocrine changes of the menstrual cycle [1]. The incidence of the condition may be as high as 20% of all menstruating women [2]. The most common locations of endometriosis are in the true pelvis, particularly the fallopian tubes and the ovaries. The sacrouterine ligaments and Douglas' cul-de-sac are also frequently affected. Rarer sites of endometriotic implants include the gastrointestinal tract, urogenital organs, and extraabdominal sites. The diagnosis is suggested by the results of modern imaging techniques and the usually typical clinical findings and is confirmed by histopathology of a surgical specimen. The literature contains few reports on ultrasound and computed tomography (CT) findings in patients with endometriosis [3, 4]. Similar content being viewed by others

References

Wilson JR, Beecham CT, Carrington ER (1975) Endometriosis. In: Obstetrics and gynecology 5th ed. St. Louis: Mosby 110–118 Merrill JA (1986) Endometriosis. In: Danfath DN Obstetrics and gynecology 5th ed. Philadelphia: J. B. Lippincott, 995–1007 Kerr W (1966) Endometriosis involving the urinary tract. Clin Obstet Gynecol 9: 331 Roberts JL, Farah M (1992) Ultrasound of endometriosis and adenomyomatosis. In: Shirkhoda A, Madrazo B, eds Pelvic ultrasound, Baltimore; Williams & Wilkins Meyers WC, Kelvin FM, Jones RS (1979) Diagnosis and surgical treatment of colonic endometriosis. Arch Surg 114: 169–175 Ranney B (1975) The prevention, inhibition, palliation and treatment of endometriosis. Am J Obstet Gynecol 123: 778–789 Steck CW, Helwig EB (1966) Cutaneous endometriosis. Clin Obstet Gynecol 9: 373–383 Coleman BG, Arger PH, Mulern CB Jr (1979) Endometriosis: clinical and ultrasonic correlation. AJR 132: 747–749 Bidwall JK, Dunne MG (1987) Computed tomography of bladder malakoplakia. J Comput Assist Tomogr 11 (5): 909–910 Rubin E, Farber JF (1988) Endometriosis. In: Pathology, 1st ed. Philadelphia: J. B. Lippincott 987–989 Author information Authors and Affiliations Additional information Correspondence to: K. W. Preidler Rights and permissions About this article Cite this article Preidler, K.W., Steiner, H., Sternthal, H.M. et al. CT and ultrasonographic findings in a patient with endometriosis of the bladder after cesarean section. Eur. Radiol. 4, 182–183 (1994). https://doi.org/10.1007/BF00231209 Received: Revised: Accepted: Issue date: DOI: https://doi.org/10.1007/BF00231209

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