Endometriosis: A Rare Cause of Gross Hematuria
| Author | Farzad Allameh | en |
| Author | Morteza Fallahkarkan | en |
| Author | Afshin Moradi | en |
| Author | Azadeh Rakhshan | en |
| Author | Niyousha Danesh | en |
| Author | Sepideh Nekuie | en |
| Orcid | Farzad Allameh [0000-0003-4536-6404] | en |
| Orcid | Azadeh Rakhshan [0000-0003-2208-4244] | en |
| Issued Date | 2018-02-28 | en |
| Abstract | Introduction: Endometriosis is a condition in which endometrial tissue exists outside the uterine cavity. Urinary tract lesions are present in 1 % of women with this condition. Case Presentation: A 34-year-old woman was presented to our clinic with a 3-year history of dysuria and frequency. Her past medical history was significant for cesarean sections, performed 3 years earlier. In our center, the patient underwent cystoscopy and transurethral resection of a lesion found in the bladder wall, which on histopathology examination appeared to be endometriosis. A course of six-month hormonal therapy with luteinizing hormone-releasing hormone (LHRH)-agonist (Dipherelin™ 3.75 IM per 28 day) was planned for her. One month later, trans-vaginal ultrasound revealed a nodule posterior to the bladder, which had grown 1 cm in the preceding month. Therefore, Hysterectomy, bilateral oophorectomy, and partial cystectomy were performed. The pathology report was Mullerianosis. During two years of follow up, the patient remained asymptomatic. Conclusions: Endometriosis and endocervicosis should be regarded as important differential diagnoses in patients with gross hematuria and those suspected to have urothelial carcinomas. | en |
| DOI | https://doi.org/10.5812/ijcm.9691 | en |
| Keyword | Hematuria | en |
| Keyword | Bladder tumor | en |
| Keyword | Endometriosis | en |
| Keyword | Mullerianosis | en |
| Publisher | Brieflands | en |
| Title | Endometriosis: A Rare Cause of Gross Hematuria | en |
| Type | Case Report | en |