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Case Reports
. 2019 Sep 14:20:1360-1363.
doi: 10.12659/AJCR.917445.

Endometriosis of the Urinary Bladder Causing a Right Hydronephrosis: A Case Report

Tuqa Adil Alsinan  1 , Lana Alaa AlDahleh  2 , Hajar Adel A Alreefi  2 , Skenah A Albiabi  2 , Yara O Alsouss  2 , Fatimah A Alshayeb  2 , Zahra H Alshurafa  2 , Alaa A Moukhtar Hammad  3 , Waleed M Altaweel  3
Affiliations
Case Reports

Endometriosis of the Urinary Bladder Causing a Right Hydronephrosis: A Case Report

Tuqa Adil Alsinan et al. Am J Case Rep. .

Abstract

BACKGROUND Endometriosis is a chronic and benign condition in which endometrial glands and stroma are present outside the uterine cavity. The pathogenesis of endometriosis is not fully understood; however, several mechanisms have been hypothesized. Endometriosis is a common clinical presentation in gynecology, but affecting the urinary tract is a rare phenomenon, occurring in 0.3-12% of cases. In more severe forms, the initial presentation may be hydronephrosis or infertility. CASE REPORT We describe the case of a 25-year-old Saudi woman who presented with obstructive urinary tract symptoms and was diagnosed with urinary bladder endometriosis complicated with a right hydronephrosis. After thorough investigations and workups, the management was taken on by a multidisciplinary team approach. CONCLUSIONS This case report shows that hormonal therapy management resulted in a satisfactory outcome contrary to the surgical resection approach that is discussed in many articles.

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Conflict of interest statement

Conflict of interest: None declared

Conflict of intrerest

None.

Figures

Figure 1.
Figure 1.
(A, B) Micrograph showing an endometrial biopsy from pelvic mass confirming endometriosis.
See this image and copyright information in PMC

References

    1. Hacker N, Gambone J, Hobel C. Hacker & Moore’s Essentials of Obstetrics and Gynecology. 5th Edition. 2009.
    1. Hadfield RM, Mardon HJ, Barlow DH, Kennedy SH. Endometriosis in monozygotic twins. Fertil Steril. 1997;68(5):941–42. - PubMed
    1. Seli E, Berkkanoglu M, Arici A. Pathogenesis of endometriosis. Obstet Gynecol Clin North Am. 2003;30(1):41–61. - PubMed
    1. Aldridge KW, Burns JR, Singh B. Vesical endometriosis: A review and 2 case reports. J Urol. 1985;134(3):539–41. - PubMed
    1. Gustilo-Ashby AM, Paraiso MF. Treatment of urinary tract endometriosis. J Minim Invasive Gynecol. 2006;13(6):559–65. - PubMed

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