Revista Cubana de Obstetricia y Ginecología
versão ISSN 0138-600X
RODRIGUEZ COLLAR, Tomás Lázaro; CASA DE VALLE CASTRO, Midalys; GERMAN MELIZ, Jorge Luis e PARDILLO ANCEAUME, María Elena. Incidental diagnosis of vesical endometriosis. Rev Cubana Obstet Ginecol [online]. 2011, vol.37, n.3, pp. 420-427. ISSN 0138-600X.
INTRODUCTION: The urogenital system affection from endometriosis if uncommon where the more involved organ is the bladder. Its clinical manifestations are a urgent miction, pollakiuria, hypogastric pain, hematuria and occasionally is a cause of infertility. OBJECTIVES: To present a new case of vesical endometriosis as well its diagnosis and treatment. METHODS: This is the case of female patient aged 24 with a history of good health came to Gynecology consultation due to persistent pain in lower stomach previous days to menstruation of several months of course, as well an initial miction effort .Physical examination of abdomen and genital internal and external organs was normal. In abdominal US were informed two tumor lesions of cystic appearance at vesical trigone level, which were verified through a transvaginal study. RESULTS: During cystoscopy tumor were at ureteric bar, which were resected with cut loop. The report of anatomical-pathological report of surgical sample was a vesical endometriosis. At laparoscopy appeared an endometriosis focus in Douglas's cul-de-sac. Treatment with 5 mg daily of Mifepristone for 6 months with a satisfactory evolution; US study and six-monthly control cystoscopy were negative. CONCLUSIONS:The abdominal and transvaginal US carrying out in patient of fertile age with recurrent pelvic pain ion not-defined origin, with or without associated urinary symptoms, allow the early diagnosis and treatment of vesical endometriosis.
Palavras-chave : Vesical endometriosis; abdominal US; transvaginal US; incidental diagnosis; transurethral resection.