Salada Rolando B, Yong Daniel, Ho Chi Shern Bernard, Chong Yew Lam
Department of Urology, Tan Tock Seng Hospital, Singapore, Singapore.
Department of Pathology, Tan Tock Seng Hospital, Singapore, Singapore.
J Endourol Case Rep. 2019 Aug 30;5(3):124-127. doi: 10.1089/cren.2019.0036. eCollection 2019.
Müllerianosis is a rare condition with ∼40 reported cases to date. It presents clinically as hematuria, dysuria, and pelvic pain. It most commonly affects the urinary bladder and affects women of fertile age. This is a case of a 43-year-old Chinese woman, with a medical history of thyroid cancer post-thyroidectomy. She had no history of gynecologic nor pelvic procedures done. Even though müllerianosis has a benign course, it is important to note that it may also have an atypical presentation such as acute renal colic. Also, malignancy will need to be ruled out as some cases have been associated with malignancy. In this case, the initial CT scan showed adjacent urinary bladder wall thickening near the uterus. This prompted further imaging with MRI to exclude uterine involvement. Fortunately, histology confirmed it to be müllerianosis.
苗勒管腺病是一种罕见疾病，迄今为止报告的病例约有40例。其临床症状表现为血尿、排尿困难和盆腔疼痛。它最常累及膀胱，且好发于育龄期女性。这是一例43岁的中国女性患者，有甲状腺癌甲状腺切除术后病史。她没有妇科或盆腔手术史。尽管苗勒管腺病病程呈良性，但需要注意的是，它也可能有非典型表现，如急性肾绞痛。此外，由于一些病例与恶性肿瘤有关，因此需要排除恶性肿瘤。在该病例中，最初的CT扫描显示子宫附近膀胱壁增厚。这促使进一步进行MRI检查以排除子宫受累情况。幸运的是，组织学检查证实为苗勒管腺病。
