第四次剖宫产术后浸润性膀胱子宫内膜异位症的诊断
Diagnosis of infiltrating bladder endometriosis after fourth cesarean section.
作者信息
Skaff Bassem, Diab Rayane, Moussa Mohamad, Massaad Christopher, Ghazal Kariman
机构信息
Department of Obstetrics and Gynecology New Mazioum Tripoli Lebanon.
Faculty of Medical Sciences Lebanese University Beirut Lebanon.
出版信息
IJU Case Rep. 2024 Oct 27;8(1):52-55. doi: 10.1002/iju5.12807. eCollection 2025 Jan.
OBJECTIVES
This case report highlights the clinical presentation, diagnostic challenges, and effective management of bladder endometriosis, while emphasizing the importance of considering this diagnosis in patients with chronic pelvic pain and urinary symptoms.
METHODS
A 32-year-old woman presented with severe pelvic pain, dysuria, and dyspareunia. Diagnosis of bladder endometriosis was achieved through clinical suspicion supported by vaginal ultrasound, 3D imaging, and magnetic resonance imaging.
RESULTS
Conservative medical treatment provided temporary relief, which necessitated resection of endometriotic nodule.
CONCLUSIONS
Due to its rarity and non-specific presentation, bladder endometriosis is often underdiagnosed or misdiagnosed. In this case, the patient's pain can be correlated with the deeply infiltrating nature of the endometriotic lesions, causing irritation, and involvement of the bladder.
目的
本病例报告强调了膀胱子宫内膜异位症的临床表现、诊断挑战及有效管理，同时强调了在患有慢性盆腔疼痛和泌尿系统症状的患者中考虑这一诊断的重要性。
方法
一名32岁女性出现严重盆腔疼痛、排尿困难和性交困难。通过阴道超声、三维成像和磁共振成像支持的临床怀疑确诊为膀胱子宫内膜异位症。
结果
保守药物治疗提供了暂时缓解，这使得有必要切除子宫内膜异位结节。
结论
由于膀胱子宫内膜异位症罕见且表现不具特异性，其常被漏诊或误诊。在本病例中，患者的疼痛可能与子宫内膜异位病变的深度浸润性质有关，导致刺激并累及膀胱。
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