Töz Emrah, Ince Onur, Apaydın Nesin, Gürbüz Tutku, Dayanıklı Nihat, Ayaz Duygu
Department of Gynecology and Obstetrics, İzmir Tepecik Education and Research Hospital, İzmir, Turkey.
Department of Urology, İzmir Tepecik Education and Research Hospital, İzmir, Turkey.
Case Rep Womens Health. 2015 Apr 11;6:1-3. doi: 10.1016/j.crwh.2015.02.001. eCollection 2015 Apr.
The urinary tract endometriosis is observed in 1-2% of the patients and in 90% of these cases, there are endometriotic nodules in the bladder. With respect to knowledge, it is generally believed that pregnancy cures endometriosis. However in this case, symptoms developed during the third trimester of pregnancy.
We report a case of 31 year old, 30 week pregnant woman with a vegetative mass with 33 × 33 × 21 mm dimensions and irregular borders on the posterior wall of the bladder. After the cesarean section, the vegetative and superiorly localized mass on the internal wall of the bladder was excised with partial bladder excision. The patient had no other apparent findings of pelvic endometriosis at operation but the pathology result indicated endometriosis.
Although this case shows that endometriosis may become symptomatic during pregnancy, it has to be underlined that it cannot be discerned whether it is consequent to progress of the disease or to pregnancy-mediated modifications of a pre-existing lesion.
1% - 2%的患者存在泌尿道子宫内膜异位症，其中90%的病例膀胱中有子宫内膜异位结节。关于这一点，人们普遍认为怀孕可治愈子宫内膜异位症。然而在本病例中，症状在妊娠晚期出现。
我们报告一例31岁、孕30周的孕妇，其膀胱后壁有一个大小为33×33×21毫米、边界不规则的赘生物。剖宫产术后，切除了膀胱内壁上的赘生物及位于上方的肿物，并进行了部分膀胱切除术。术中患者没有其他明显的盆腔子宫内膜异位症表现，但病理结果显示为子宫内膜异位症。
尽管该病例表明子宫内膜异位症在孕期可能出现症状，但必须强调的是，尚无法确定这是疾病进展所致还是妊娠介导的原有病变改变所致。
