Rare conditions mimicking bladder endometriosis

Devi Balasubramaniam, Devi Balasubramaniam ., Kavitha Yogini Duraisamy, Malathi Ezhilmani, Aravinth Subramanium
In: Indian Journal of Case Reports · 2018 · vol. 4(6) , pp. 450–453 · doi:10.32677/ijcr.2018.v04.i06.013 · W2909791506
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Two patients diagnosed with bladder endometriosis were found to have cystitis cystica and xanthogranulomatous cystitis upon pathological examination, highlighting rare benign conditions that mimic bladder endometriosis.

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This paper presents two case reports where patients initially diagnosed with bladder endometriosis underwent robotic and laparoscopic partial cystectomy, only for post-operative pathology to reveal benign inflammatory conditions instead. One patient was found to have cystitis cystica, marking the second such case reported in literature, while the other had xanthogranulomatous cystitis, a rare condition forming a tumorous lesion. The authors highlight that these chronic inflammatory lesions can clinically mimic endometriosis, leading to potential misdiagnosis before surgical intervention. Relevance to endometriosis: this paper is centrally about endometriosis as it details cases where bladder endometriosis was the initial working diagnosis, although the final pathological findings were different benign mimics.

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Abstract

Benign conditions of the bladder such as cystitis cystica and Xanthogranulomatous cystitis (XC) are chronic inflammatory lesions which are usually rare in incidence. Here, we report 2 case reports wherein both the patients were diagnosed as bladder endometriosis for which segmental resection and partial cystectomy were done by the minimally invasive approach. Post-operative pathological examination revealed the lesions as cystitis cystica in one case and XC in another. To the best of our knowledge, this case of cystitis cystica mimicking as the bladder endometriosis is the 2nd case reported in the literature and case of XC forming a tumorous lesion is the 29th to be reported in the world literature.
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Rare conditions mimicking bladder endometriosis DOI: https://doi.org/10.32677/IJCR.2018.v04.i06.013Keywords: Cystitis cystica, Xanthogranulomatous cystitis, Bladder endometriosis, Robotic, Laparoscopic partial cystectomyAbstract Benign conditions of the bladder such as cystitis cystica and Xanthogranulomatous cystitis (XC) are chronic inflammatory lesions which are usually rare in incidence. Here, we report 2 case reports wherein both the patients were diagnosed as bladder endometriosis for which segmental resection and partial cystectomy were done by the minimally invasive approach. Post-operative pathological examination revealed the lesions as cystitis cystica in one case and XC in another. To the best of our knowledge, this case of cystitis cystica mimicking as the bladder endometriosis is the 2nd case reported in the literature and case of XC forming a tumorous lesion is the 29th to be reported in the world literature. Downloads Downloads Published Issue Section License This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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