Department of Gynae Endoscopy & Obstetrics, Patel Hospital, Karachi, Pakistan.
J Ayub Med Coll Abbottabad. 2021 Jul-Sep;33(3):529-531.
Endometriosis is a common gynaecological condition affecting 10-12% of general female population. It has variable clinical presentation commonly causing infertility, chronic pelvic pain, and dysmenorrhea. Rare presentation could be a tender cervical/rectal mass therefore should be considered in women of reproductive age group. A 30 years old woman with 1.5 years history of heavy menstrual bleeding with painful menstruation, painful coitus, urinary hesitancy and constipation reported after visiting multiple hospitals and failed medical treatment with pelvic scans showing fibroid uterus. MRI excluded fibroid uterus and laparoscopic exploration of pelvis and subsequent histopathology confirm the mass to be bladder endometrioma.
子宫内膜异位症是一种常见的妇科疾病,影响 10-12%的普通女性人群。它具有多变的临床表现,常见的病因是不孕、慢性盆腔疼痛和痛经。罕见的表现可能是宫颈/直肠触痛性肿块,因此应考虑到生育年龄组的女性。一名 30 岁女性,有 1.5 年的月经过多病史,伴有痛经、性交痛、排尿犹豫和便秘,在多家医院就诊后均未得到有效治疗,盆腔扫描显示为子宫肌瘤。MRI 排除了子宫肌瘤,腹腔镜探查盆腔和随后的组织病理学证实该肿块为膀胱子宫内膜异位症。