title: Bladder Endometriosis Mimicking TCC - A Case Report.
abstract: Endometriosis is the ectopic presence of endometrial tissue outside the uterus. Though on its own endometriosis is not a rare lesion, the involvement of the urinary tract is rare but with the bladder being the most commonly affected organ. Endometriosis is usually seen in females between the ages of 30-40 years and may occur due to fluctuating levels of oestrogen and progesterone. Clinically the patient maybe asymptomatic or show symptoms of dysmenorrhea, irregular or heavy periods, pain in the pelvic area, lower abdomen or in the back. It has been suggested that ultrasonography should be done either before or during menstruation as the lesion becomes more evident and a biopsy taken during this period is a strong aid in reaching a final diagnosis. We report here an unusual case of bladder endometriosis where the patient came with severe pelvic pain and an endoluminal mass seen on the ultrasonographic report. Based on these findings a differential of transitional cell carcinoma was given which was ruled out based on the cystoscopic findings.
authors.affiliation: Consultant, Department of Gen and Laproscopic Surgery, Sant Parmanand Hospital , Civil Lines Delhi, India .
authors.forename: Asish
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Consultant, Department of Gen and Laproscopic Surgery, Sant Parmanand Hospital , Civil Lines Delhi, India .
authors.forename: Atul
authors.initials: A
authors.lastname: Bhatnagar
authors.affiliation: Head of Department, Department of Anesthesia, Sant Parmanand Hospital , Civil Lines Delhi, India .
authors.forename: B N
authors.initials: BN
authors.lastname: Seth
authors.affiliation: Consultant, Department of Gynecology, Sant Parmanand Hospital , Civil Lines Delhi, India .
authors.forename: Arbinder
authors.initials: A
authors.lastname: Dang
authors.affiliation: Professor and Head, Department of Oral Pathology, IDST Modinagar, Uttar Pradesh, India .
authors.forename: Vineeta
authors.initials: V
authors.lastname: Gupta
keywords: Cystoscopy; Endometrial tissue; Transitional cell carcinoma; Urinary system