Korean J Obstet Gynecol.  2012 Nov;55(11):882-886. 10.5468/KJOG.2012.55.11.882.

A successful case of laparoscopic partial cystectomy for bladder endometriosis

• Kim MK
• Jung YS
• Chung D
• Cho KS
• Choi YS
• Seo SK

• KMID: 2274162
• DOI: http://doi.org/10.5468/KJOG.2012.55.11.882

Abstract

Endometriosis is defined as the presence of endometrial tissue (glands and stroma) outside the uterus. About 1% of women with endometriosis have urinary tract implantations, and 84% of these cases involve the bladder. Abdominal partial cystectomy has been reported to treat urinary tract implantations, but laparoscopy has not previously been reported in Korea. We report a case of vesical endometriosis that was treated successfully with laparoscopic partial cystectomy.

Keyword

Endometriosis; Bladder; Laparoscopic partial cystectomy

MeSH Terms

Cystectomy
Endometriosis
Female
Humans
Korea
Laparoscopy
Urinary Bladder
Urinary Tract
Uterus

Figure

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  Fig. 1 (A) Cystoscopy reveals dark elevated lesions on the posterior wall of the bladder. (B) Resection of the lesions. (C) Resection in progress. (D) Final resectied lesions.

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  Fig. 2 Magnetic resonance imaging image revealing focal wall thickening at the posterior wall of bladder, and low signal intensity (SI) with high SI spots on T2WI and T1WI. The arrow indicates the lesion.

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  Fig. 3 Laparoscopic findings show severe pelvic adhesions including the uterus, and rectum (endometriosis stage III).

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