Gilbert N, Guo X, Bauer J, Hennig M, Kümpers C, Merseburger A S
Klinik und Poliklinik für Urologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck.
Klinik für Urologie und Kinderurologie, DIAKO Ev. Diakonie-Krankenhaus gGmbH, Bremen.
Aktuelle Urol. 2018 Jun;49(3):266-268. doi: 10.1055/s-0043-110039. Epub 2017 Jun 20.
Endosalpingiosis of the urinary bladder is a rare benign condition characterised by the presence of ectopic endosalpingeal tissue in the bladder. If histology shows two or more Müllerian-derived components, this condition is referred to as Müllerianosis.To our knowledge less than 20 cases of Müllerianosis and 5 cases of endosalpingiosis have been documented in the literature.Although the pathogenesis remains unclear, two theories exist. The implantation theory assumes that Müllerian-derived tissue gets implanted in the wall of the urinary bladder during pelvic surgery. The second theory proposes a metaplastic origin of the disease.Patients suffering from endosalpingiosis or Müllerianosis may present with symptoms such as suprapubic pain, frequent urination, dysuria or gross haematuria, possibly with a cyclical appearance.We present the case of a 40-year-old female patient, who primarily presented with painful haematuria and was diagnosed with endosalpingiosis and treated by transurethral resection. Also we review the current literature.
膀胱子宫内膜异位症是一种罕见的良性疾病,其特征是膀胱内存在异位的输卵管内膜组织。如果组织学显示有两种或更多源自苗勒管的成分,这种情况则被称为苗勒管病。据我们所知,文献中记录的苗勒管病病例不到20例,膀胱子宫内膜异位症病例为5例。虽然发病机制尚不清楚,但存在两种理论。植入理论认为,在盆腔手术期间,源自苗勒管的组织植入膀胱壁。第二种理论提出该病起源于化生。患有膀胱子宫内膜异位症或苗勒管病的患者可能会出现耻骨上疼痛、尿频、排尿困难或肉眼血尿等症状,可能呈周期性出现。我们报告一例40岁女性患者,其最初表现为疼痛性血尿,被诊断为膀胱子宫内膜异位症并接受经尿道切除术治疗。同时我们也回顾了当前的文献。