Bladder Endometriosis: A Great Masquerader

Authors

  • Parveen Rana Department of Pathology, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
  • Sunaina Hooda Department of Pathology, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
  • Ruchi Agarwal Department of Pathology, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
  • Parul Department of Pathology, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
  • Monika Gathwal Department of Pathology, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
  • Vishal Rohilla Department of Pathology, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India
  • Swaran Kaur Saluja Department of Pathology, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India

DOI:

https://doi.org/10.21276/apalm.3456

Keywords:

Bladder, endometriosis, estrogen receptors, progesterone receptors

Abstract

Endometriosis is a chronic condition presenting with the presence of endometrium outside the uterus. Case 1: A 29-year-old woman presented with abdominal pain and painful urination for 15 days, beginning after her menstrual cycle. She had a history of frequent urination, recurrent urinary tract infections, hematuria, and two uneventful cesarean sections. Ultrasound revealed a lobulated soft tissue lesion in the posterior bladder wall. Microscopy revealed endometrial glands and hemosiderin-laden macrophages. Immunohistochemistry (IHC) confirmed bladder endometriosis with positive estrogen and progesterone receptors (ER/PR) and CD10-positive stromal cells. Case 2: A 33-year-old woman with menorrhagia, dysmenorrhea, and burning urination underwent surgery for a fibroid and ovarian cyst. During surgery, a 6.5 cm firm mass adhered to the bladder and uterus was found. Histopathology confirmed bladder endometriosis with ER-positive glands. The diagnosis of bladder endometriosis is aided by imaging techniques along with histopathology and IHC. This comprehensive approach helps differentiate bladder endometriosis from malignancies or other gynecological conditions, thus reducing the risk of misdiagnosis. Early and precise diagnosis facilitates targeted treatment, improving patient outcomes and preventing unnecessary interventions.

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Published

31-01-2025

How to Cite

1.
Rana P, Hooda S, Agarwal R, Parul, Gathwal M, Rohilla V, et al. Bladder Endometriosis: A Great Masquerader. Ann of Pathol and Lab Med [Internet]. 2025 Jan. 31 [cited 2025 Apr. 5];12(1):C1-6. Available from: https://pacificejournals.com/journal/index.php/apalm/article/view/3456

Issue

Vol. 12 No. 1 (2025)

Section

Case Report

License

Copyright (c) 2025 Parveen Rana, Sunaina Hooda, Ruchi Agarwal, Parul, Monika Gathwal, Vishal Rohilla, Swaran Kaur Saluja

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