Grima François, Golfier François, Raudrant Daniel
Service de Gynécologie-Obstétrique, Hôtel-Dieu, Lyon, France.
Prog Urol. 2005 Jun;15(3):498-500.
Bladder endometriosis is a rare site of a disease with very polymorphic clinical signs. The authors report the case of a 30-year-old woman operated for bladder endometriosis who presented with recent menstrual macroscopic haematuria with primary infertility and deep dyspareunia. Histological examination demonstrated bladder endometriosis sparing the urothelium. Comparison with our histological series of bladder endometriosis demonstrated polymorphic lesions ranging from integrity to complete loss of the bladder mucosa, with no correlation with clinical features.
膀胱子宫内膜异位症是一种临床症状极为多样的罕见疾病部位。作者报告了一例30岁因膀胱子宫内膜异位症接受手术的女性病例,该患者近期出现月经性肉眼血尿,伴有原发性不孕和深部性交困难。组织学检查显示膀胱子宫内膜异位症未累及尿路上皮。与我们的膀胱子宫内膜异位症组织学系列进行比较发现,病变形态多样,从膀胱黏膜完整到完全缺失,与临床特征无相关性。