Bladder Endometriosis: Ultrasound and MRI Findings

Beaty, Sean D.; Silva, Alvin C.; Petris, Giovanni De

doi:10.2484/rcr.v1i3.16

Cited by 11 publications

(5 citation statements)

References 10 publications

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“…It can identify localized soft tissue thickening of the urinary bladder wall, which can indicate potential diagnoses of bladder endometriosis. When diagnosing urinary bladder endometriosis, it is important to consider differentials including subserosal anterior leiomyoma, urachus remnants, bladder carcinoma, and tumors originating from the bladder's muscular layer for example; angiomas and leiomyomas [9,10]. Endometriotic nodules can be visualized as irregular hypoechoic soft tissue lesions with a circumscribed appearance on ultrasound.…”

Section: Discussionmentioning

confidence: 99%

A Unique Occurrence of Vesical Endometriosis 16 Years After Cesarean Section: A Case Report

2024

JMCCR

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Background: The rare disorder urinary bladder endometriosis develops when endometrial tissue, which lines the uterus, grows in the bladder wall. This aberrant endometrial tissue causes hematuria, dysuria, and pelvic discomfort. Though, these symptoms are not exclusive to this illness, they make diagnosis difficult. Ultrasound, Magnetic Resonance Imaging, and cystoscopy play a crucial role in confirming the diagnosis. Treatment options range from medical management with hormonal therapies to surgical interventions like transurethral resection or partial cystectomy depending upon personal needs and endometriosis severity. Case Presentation: We are presenting a case report highlighting this uncommon yet clinically significant presentation of urinary bladder endometriosis in a 38-year-old female, who had been experiencing cyclical dysuria for about one year. Her medical history included two previous Caesarean deliveries with last being 16 years ago. MRI revealed variable intensity lesion with internal cystic areas along left posterolateral urinary bladder wall which was inseparable from lower segment caesarean section scar, indicative of urinary bladder endometriosis. Patient received medical treatment leading to resolution of her symptoms. Conclusion: Urinary bladder endometriosis following caesarean section is an uncommon but clinically significant condition that demands timely recognition and appropriate management. A thorough diagnostic workup, including imaging studies and cystoscopy, is crucial for accurate diagnosis. Tailored treatment plans, ranging from hormonal therapies to surgical interventions, should be considered based on disease extent, fertility desires, and overall patient health.

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Section: Discussionmentioning

confidence: 99%

A Unique Occurrence of Vesical Endometriosis 16 Years After Cesarean Section: A Case Report

2024

JMCCR

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“…It has been found that during menstruation, there is spillage of endometrial cells in the anterior cul-de-sac, which is the most dependent portion, just like the posterior cul-de-sac, hence representing a favorable site for deep endometriosis. It is proposed to perform imaging before or during menstruation as the lesions become more perceptible [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Valuable noninvasive imaging tools such as ultrasound and MRI can avoid delays in diagnosis and treatment. The first-line imaging modality to rule out any abnormality is ultrasonography, followed by MRI, which is more robust in revealing deep endometriosis [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Bladder Endometriosis Masquerading as Bladder Tumor: The Role of Magnetic Resonance Imaging in Diagnosis

Hakeem

Anwar

et al. 2021

Cureus

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Bladder endometriosis is an infrequent cause of a focal bladder mass and may masquerade as a neoplasm on ultrasound imaging. This diagnostic dilemma can be resolved with a multiparametric MRI, which shows characteristic hemorrhagic signals of this entity. We present an unusual case of bladder endometriosis where the patient complained of lower abdominal pain without urinary symptoms and was found to have a bladder mass on ultrasonography. This mass was further investigated by an MRI of the pelvis, which revealed characteristic features of endometriosis; the diagnosis was confirmed on subsequent laparoscopy.

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“…MRI has been shown to have an accuracy of up to 98% in diagnosis of endometriosis [ 6 ]. MRI is also beneficial in assessing the extent and severity of endometriosis in other sites [ 8 ]. In our patient, the diagnosis was not clear before surgery as the patient did not have typical features of endometriosis.…”

Section: Discussionmentioning

confidence: 99%

Isolated Bladder Endometriosis in a Patient With Previous Cesarean Sections

2020

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Urological endometriosis is rare and accounts for approximately 1% of women with endometriosis. The pathophysiology of bladder endometriosis may be divided into two different causes, namely primary and secondary. The primary form occurs spontaneously and manifests in a form of a generalized pelvic disease whereas the secondary form is thought to be iatrogenic and typically occurs after pelvic surgery such as Cesarean section or hysterectomy. We present a case report on a patient presenting with an invasive bladder mass initially thought to be from a pelvic malignancy. The final histology showed isolated bladder endometriosis. She had a significant past medical history of two previous Cesarean sections. A review of her magnetic resonance imaging (MRI) images demonstrated the presence of a Cesarean scar niche which may be linked to her bladder endometriosis. There is a need to improve awareness of the possible link between Cesarean scar niche with bladder endometriosis. This is important as it raises the clinical question of whether appropriate repair of Cesarean scar niches can prevent future complications such as bladder endometriosis which can potentially be associated with significant morbidity.

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Bladder Endometriosis: Ultrasound and MRI Findings

Cited by 11 publications

References 10 publications

A Unique Occurrence of Vesical Endometriosis 16 Years After Cesarean Section: A Case Report

A Unique Occurrence of Vesical Endometriosis 16 Years After Cesarean Section: A Case Report

Bladder Endometriosis Masquerading as Bladder Tumor: The Role of Magnetic Resonance Imaging in Diagnosis

Isolated Bladder Endometriosis in a Patient With Previous Cesarean Sections

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