Diagnosis of infiltrating bladder endometriosis after fourth cesarean section

Objectives This case report highlights the clinical presentation, diagnostic challenges, and effective management of bladder endometriosis, while emphasizing the importance of considering this diagnosis in patients with chronic pelvic pain and urinary symptoms. Methods A 32‐year‐old woman presented...

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Main Authors: Bassem Skaff, Rayane Diab, Mohamad Moussa, Christopher Massaad, Kariman Ghazal
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12807
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author Bassem Skaff
Rayane Diab
Mohamad Moussa
Christopher Massaad
Kariman Ghazal
author_facet Bassem Skaff
Rayane Diab
Mohamad Moussa
Christopher Massaad
Kariman Ghazal
author_sort Bassem Skaff
collection DOAJ
description Objectives This case report highlights the clinical presentation, diagnostic challenges, and effective management of bladder endometriosis, while emphasizing the importance of considering this diagnosis in patients with chronic pelvic pain and urinary symptoms. Methods A 32‐year‐old woman presented with severe pelvic pain, dysuria, and dyspareunia. Diagnosis of bladder endometriosis was achieved through clinical suspicion supported by vaginal ultrasound, 3D imaging, and magnetic resonance imaging. Results Conservative medical treatment provided temporary relief, which necessitated resection of endometriotic nodule. Conclusions Due to its rarity and non‐specific presentation, bladder endometriosis is often underdiagnosed or misdiagnosed. In this case, the patient's pain can be correlated with the deeply infiltrating nature of the endometriotic lesions, causing irritation, and involvement of the bladder.
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spelling doaj-art-b0e170c5be8f485d8550adc2610cd70d2025-08-20T02:53:03ZengWileyIJU Case Reports2577-171X2025-01-0181525510.1002/iju5.12807Diagnosis of infiltrating bladder endometriosis after fourth cesarean sectionBassem Skaff0Rayane Diab1Mohamad Moussa2Christopher Massaad3Kariman Ghazal4Department of Obstetrics and Gynecology New Mazioum Tripoli LebanonDepartment of Obstetrics and Gynecology New Mazioum Tripoli LebanonFaculty of Medical Sciences Lebanese University Beirut LebanonFaculty of Medicine Saint George University of Beirut Beirut LebanonFaculty of Medical Sciences Lebanese University Beirut LebanonObjectives This case report highlights the clinical presentation, diagnostic challenges, and effective management of bladder endometriosis, while emphasizing the importance of considering this diagnosis in patients with chronic pelvic pain and urinary symptoms. Methods A 32‐year‐old woman presented with severe pelvic pain, dysuria, and dyspareunia. Diagnosis of bladder endometriosis was achieved through clinical suspicion supported by vaginal ultrasound, 3D imaging, and magnetic resonance imaging. Results Conservative medical treatment provided temporary relief, which necessitated resection of endometriotic nodule. Conclusions Due to its rarity and non‐specific presentation, bladder endometriosis is often underdiagnosed or misdiagnosed. In this case, the patient's pain can be correlated with the deeply infiltrating nature of the endometriotic lesions, causing irritation, and involvement of the bladder.https://doi.org/10.1002/iju5.12807bladder endometriosisdeep infiltrating endometriosisendometriosisalaparoscopic cystectomy
spellingShingle Bassem Skaff
Rayane Diab
Mohamad Moussa
Christopher Massaad
Kariman Ghazal
Diagnosis of infiltrating bladder endometriosis after fourth cesarean section
IJU Case Reports
bladder endometriosis
deep infiltrating endometriosis
endometriosisa
laparoscopic cystectomy
title Diagnosis of infiltrating bladder endometriosis after fourth cesarean section
title_full Diagnosis of infiltrating bladder endometriosis after fourth cesarean section
title_fullStr Diagnosis of infiltrating bladder endometriosis after fourth cesarean section
title_full_unstemmed Diagnosis of infiltrating bladder endometriosis after fourth cesarean section
title_short Diagnosis of infiltrating bladder endometriosis after fourth cesarean section
title_sort diagnosis of infiltrating bladder endometriosis after fourth cesarean section
topic bladder endometriosis
deep infiltrating endometriosis
endometriosisa
laparoscopic cystectomy
url https://doi.org/10.1002/iju5.12807
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