García González J I, Extramiana Cameno J, Esteban Calvo J M, Díez Rodríguez J M, Esteban Artiaga R, Arrizabalaga Moreno M, Paniagua Andrés P
Servicio de Urología, Hospital de Móstoles, Madrid.
Actas Urol Esp. 1997 Sep;21(8):785-8.
Endometriosis is a benign condition with an aggressive behaviour defined by the presence of ectopic endometrial tissue, outside the uterus. It occurs in 15-20% women with child bearing potential. Most commonly it affects organs such as the ovaries, uterine ligaments, fallopian tubes, rectum and the cervico-vaginal region. Involvement of the urinary tract, however, is rare. It can be seen in just about 1% cases, vesical location being the most frequent of these presentations (84% cases). We describe one case of vesical endometriosis that developed after a cesarean section. The intra-operative findings confirmed the existence of infiltration of the detrusor muscle and the vesical mucosa by endometrial tissue from the area of the uterine incision. A discussion of the different diagnostic and therapeutic options is also included.
子宫内膜异位症是一种良性疾病，具有侵袭性，其特征为子宫外存在异位子宫内膜组织。它发生在15%至20%有生育潜力的女性中。最常见的是影响卵巢、子宫韧带、输卵管、直肠和宫颈-阴道区域等器官。然而，尿路受累很少见。仅在约1%的病例中可见，其中膀胱部位是最常见的表现（84%的病例）。我们描述了一例剖宫产术后发生的膀胱子宫内膜异位症病例。术中发现证实子宫切口区域的子宫内膜组织浸润了逼尿肌和膀胱黏膜。文中还讨论了不同的诊断和治疗选择。
