Sánchez Godoy Laura, Oviedo Ramírez María Isabel
Servicio de Anatomía Patológica, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
Servicio de Anatomía Patológica, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
Rev Esp Patol. 2024 Oct-Dec;57(4):295-299. doi: 10.1016/j.patol.2024.05.002. Epub 2024 Jul 23.
Bladder müllerianosis is defined by the presence of Müllerian epithelium (endometrial, endocervical or endosalpinx) in the bladder. It is a rare benign disease that affects women and presents a non-specific clinical presentation that poses a broad differential diagnosis. We present the case of a 49-year-old woman who presented with recurrent urinary tract infections, urinary discomfort and abdominal pain. The approach is carried out by ultrasound and urethrocystoscopy that reveal the presence of a 5mm polypoid lesion that is removed. The histological study revealed bladder müllerianosis together with the complementary finding of glandular cystitis and cystic cystitis.
膀胱苗勒管异位症的定义为膀胱内出现苗勒上皮(子宫内膜、子宫颈内膜或输卵管内膜)。它是一种罕见的良性疾病,影响女性,临床表现不具特异性,鉴别诊断范围广泛。我们报告一例49岁女性病例,该患者反复出现尿路感染、排尿不适和腹痛。通过超声和尿道膀胱镜检查发现一个5毫米的息肉样病变并将其切除。组织学研究显示为膀胱苗勒管异位症,同时伴有腺性膀胱炎和囊性膀胱炎的补充发现。