Cüneyt ÖZDEN, Ali MEMİŞ, Servet GÜREŞÇİ, Süleyman BULUT, Akif Ersoy ERKMEN, Binhan KAĞAN AKTAŞ, Sezer KULAÇOĞLU

A Case of Primary Bladder Endometriosis Who Had Undergone Partial Cystectomy

Primer mesane endometriozisi nadirdir. Vakaların çoğu sezaryenle doğum veya histerektomi gibi pelvik cerrahiye sekonderdir. Bu makalede primer mesane endometriozisi nedeniyle parsiyel sistektomi uygulanmış 33 yaşındaki bir bayan hastayı sunuyoruz. Hastanın başvuru şikâyetleri menstrüel siklusla ilişkili olmayan hematüri ve pelvik ağrıydı. Hasta dış merkezde yapılan transüretral rezeksiyon sonrasında kesin tanı almış ancak operasyondan sonra hastanın şikâyetleri gerilememişti. Kliniğimizde yapılan sistoskopik ve radyolojik yeniden değerlendirme sonrasında hastaya açık parsiyel sistektomi yapılmasına karar verildi. Operasyonda mesane dış kısmına uzanan 20 mm'lik solid kitle eksize edildi. Pelvik periton veya overlerde endometriotik lezyon görülmedi. Hastanın sistoskopi ve bilgisayarlı tomografi ile yapılan post-operatif izleminde 4. aya dek nüks izlenmedi

Parsiyel Sistektomi Uygulanmiş Bir Primer Mesane Endometriozisi Olgusu

Primary bladder endometriosis is rare. Most cases are secondary to pelvic surgery, such as cesarean section or hysterectomy. In this article, we present a case of primary bladder endometriosis in a 33 year-old female patient who had undergone partial cystectomy. Hematuria which is not related to menstruel cycle, and pelvic pain were initial complaints of the patient. After a transurethral resection at an external center where the patient received definitive diagnosis, complaints of the patient had stood still post-operatively. We have decided to perform an open partial cystectomy after cystoscopic and radiological re-evaluation of the patient in our clinic. A 20 mm diameter solid mass extending out of the bladder was excised at the operation. No endometriotic lesions were detected in pelvic peritoneum or ovaries. At the follow-up, there were no recurrences both at cystoscopy and computerised tomography for 4 months after the surgery

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