Mullerianosis of the urinary bladder; A case report
| Autor: | Alaa Abbas Ali, Fahmi H. Kakamad, Sarwar Noori Mahmood, Abdulwahid M. Salih, Deedar Kamaran Qader, Saman Salih Fakhralddin, Hiwa O. Abdullah |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Urology Case Report Transurethral urologic and male genital diseases Resection 03 medical and health sciences 0302 clinical medicine Metaplastic medicine Urine examination Soft tissue mass Microscopic hematuria Pelvic surgery Urinary bladder medicine.diagnostic_test Transvaginal ultrasonography business.industry Cystoscopy Mullerianosis female genital diseases and pregnancy complications Implantation medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Introduction Mullerianosis is a sporadic condition of the urinary bladder. The study aims to present a case of mullerianosis with a brief literature review. Case presentation A 52-year-old lady presented with hematuria for one-year duration. A general urine examination showed microscopic hematuria. Abdominal and transvaginal ultrasonography revealed a soft tissue mass (13 * 10 mm) within the base of the urinary bladder. Cystoscopy showed 1.0 * 1.3 cm benign-looking mass bulging into the posterior bladder wall covered by a normal bladder mucosa. Transurethral resection was done. The histopathological examination was consistent with mullerianosis. Discussion Two hypotheses have been proposed; the first one (implantation theory) believing that at the time of pelvic surgery and caesarian delivery Mullerian tissues become implanted inside the bladder. The second theory (metaplastic theory) holds the probability of differentiation of Mullerian epithelium to endometrial, endocervical, and tubal components and proliferation in the bladder. Conclusion mullerianosis is a very infrequent entity that mainly affects the urinary bladder and is mainly reported in females during the reproductive period, medical and surgical treatment are both regarded as the management options. Highlights • Mullerianosis is an extremely rare condition of the urinary bladder. • Mullerian-derived components are endosalpinx, endometrium, and endocervix. • Clinical symptoms vary from dysuria, abdominal pain, hematuria and recurring renal colic. • In this study a case of mullerianosis is discussed. |
| Databáze: | OpenAIRE |
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