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孤立性膀胱子宫内膜异位症

Isolated urinary bladder endometriosis.

作者信息

Sharma Manisha, Agrawal Amit, Kumar Deepak

机构信息

Resident (Surgery), Command Hospital (Western Command), C/o 56 APO, India.

Senior Advisor (Surgery) & Urologist, Army Hospital (Research & Referral), New Delhi, India.

出版信息

Med J Armed Forces India. 2024 Dec;80(Suppl 1):S301-S303. doi: 10.1016/j.mjafi.2023.03.009. Epub 2023 May 8.

DOI:10.1016/j.mjafi.2023.03.009
PMID:39734869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11670532/
Abstract

Endometriosis is the presence of ectopic endometrial tissue outside the uterine cavity. Urinary tract endometriosis is rare and occurs in only about 0.3-12% of cases with the bladder being the most commonly affected organ (85%). Bladder endometriosis is a great masquerader and usually does not present with cyclical hematuria thus often delaying the diagnosis. We present such a rare case along with a review of the literature.

摘要

子宫内膜异位症是指子宫腔外存在异位的子宫内膜组织。泌尿道子宫内膜异位症较为罕见，仅约0.3%-12%的病例会出现，其中膀胱是最常受累的器官（85%）。膀胱子宫内膜异位症极具伪装性，通常不会出现周期性血尿，因此常常延误诊断。我们在此呈现这样一例罕见病例并对相关文献进行综述。

相似文献

1
Isolated urinary bladder endometriosis.孤立性膀胱子宫内膜异位症
Med J Armed Forces India. 2024 Dec;80(Suppl 1):S301-S303. doi: 10.1016/j.mjafi.2023.03.009. Epub 2023 May 8.
2
Bladder endometriosis in a patient with undirected manifestations: a case report.一例表现不典型的膀胱子宫内膜异位症患者：病例报告
J Med Case Rep. 2025 Jun 19;19(1):286. doi: 10.1186/s13256-025-05337-5.
3
Bladder Endometriosis: A Systematic Review of Pathogenesis, Diagnosis, Treatment, Impact on Fertility, and Risk of Malignant Transformation.膀胱子宫内膜异位症：发病机制、诊断、治疗、对生育能力的影响和恶变风险的系统评价。
Eur Urol. 2017 May;71(5):790-807. doi: 10.1016/j.eururo.2016.12.015. Epub 2016 Dec 28.
4
Endometrial biomarkers for the non-invasive diagnosis of endometriosis.用于子宫内膜异位症非侵入性诊断的子宫内膜生物标志物。
Cochrane Database Syst Rev. 2016 Apr 20;4(4):CD012165. doi: 10.1002/14651858.CD012165.
5
Invasive urodynamic investigations in the management of women with refractory overactive bladder symptoms: FUTURE, a superiority RCT and economic evaluation.侵入性尿动力学检查在难治性膀胱过度活动症女性患者管理中的应用：FUTURE，一项优效性随机对照试验及经济学评估
Health Technol Assess. 2025 Jul;29(27):1-139. doi: 10.3310/UKYW4923.
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Levonorgestrel-releasing intrauterine device (LNG-IUD) for symptomatic endometriosis following surgery.左炔诺孕酮宫内节育系统（LNG-IUD）治疗手术后症状性子宫内膜异位症。
Cochrane Database Syst Rev. 2021 Dec 20;12(12):CD005072. doi: 10.1002/14651858.CD005072.pub4.
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Blood biomarkers for the non-invasive diagnosis of endometriosis.用于子宫内膜异位症无创诊断的血液生物标志物。
Cochrane Database Syst Rev. 2016 May 1;2016(5):CD012179. doi: 10.1002/14651858.CD012179.
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Imaging modalities for the non-invasive diagnosis of endometriosis.子宫内膜异位症非侵入性诊断的成像方式
Cochrane Database Syst Rev. 2016 Feb 26;2(2):CD009591. doi: 10.1002/14651858.CD009591.pub2.
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Progesterone receptor modulators for endometriosis.用于子宫内膜异位症的孕激素受体调节剂。
Cochrane Database Syst Rev. 2017 Jul 25;7(7):CD009881. doi: 10.1002/14651858.CD009881.pub2.
10
Endometriosis: New Perspective for the Diagnosis of Certain Cytokines in Women and Adolescent Girls, as Well as the Progression of Disease Outgrowth: A Systematic Review.子宫内膜异位症：女性和青少年女孩某些细胞因子诊断及疾病进展的新视角：系统评价。
Int J Environ Res Public Health. 2021 Apr 29;18(9):4726. doi: 10.3390/ijerph18094726.

本文引用的文献

1
Bladder endometriosis and endocervicosis: presentation of 2 cases with endoscopic management and review of literature.膀胱子宫内膜异位症和子宫颈内膜异位症：2例内镜治疗病例报告及文献复习
Case Rep Urol. 2014;2014:296908. doi: 10.1155/2014/296908. Epub 2014 Aug 12.
2
Diagnosis and treatment of bladder endometriosis: state of the art.膀胱子宫内膜异位症的诊断与治疗：最新进展
Urol Int. 2012;89(3):249-58. doi: 10.1159/000339519. Epub 2012 Jul 20.
3
[Bladder endometriosis: diagnosis and treatment. A series of 24 patients].[膀胱子宫内膜异位症：诊断与治疗。24例患者系列研究]
Gynecol Obstet Fertil. 2009 Mar;37(3):216-21. doi: 10.1016/j.gyobfe.2009.01.018. Epub 2009 Mar 10.
4
Endometriosis of the ureter and bladder are not associated diseases.输尿管子宫内膜异位症和膀胱子宫内膜异位症并非相关疾病。
Fertil Steril. 2009 May;91(5):1662-7. doi: 10.1016/j.fertnstert.2008.02.143. Epub 2008 Apr 14.
5
Asymmetry in distribution of diaphragmatic endometriotic lesions: evidence in favour of the menstrual reflux theory.
Hum Reprod. 2007 Sep;22(9):2359-67. doi: 10.1093/humrep/dem224. Epub 2007 Jul 18.
6
Deeply infiltrating endometriosis: pathogenetic implications of the anatomical distribution.深部浸润型子宫内膜异位症：解剖分布的发病机制意义
Hum Reprod. 2006 Jul;21(7):1839-45. doi: 10.1093/humrep/del079. Epub 2006 Mar 16.
7
The pathogenesis of bladder detrusor endometriosis.膀胱逼尿肌子宫内膜异位症的发病机制。
Am J Obstet Gynecol. 2002 Sep;187(3):538-42. doi: 10.1067/mob.2002.124286.
8
Müllerianosis of the urinary bladder.膀胱苗勒管残余症
Mod Pathol. 1996 Jul;9(7):731-7.