Subscribe to RSS
Urinary Bladder Mullerianosis Causing Recurrent Abdominal Pain: A Rare Case Report and Review of the LiteratureFunding None.
Mullerianosis of the urinary bladder is a rare bladder lesion with fewer than 30 cases reported in the literature. It describes the ectopic presence of endocervical, endometrium, and endosalpingial tissues inside the urinary bladder. It is diagnosed when at least two of three Mullerian tissues, endometriosis, endocervicosis, and endosalpingiosis, are identified. Mullerianosis presents in females of the reproductive age group, especially after pelvic surgery. Treatment involves resection of the bladder mass and ruling out malignant pathology. Follow-up of Mullerianosis is vital, as recurrence is common. Medical therapy is also indicated when a diagnosis is established after the histopathological examination of the tumor.
We report a 31-year-old female presenting with recurrent lower abdominal pain. Cystoscopy showed a mass of 3 × 3 cm in the urinary bladder. Transurethral resection of bladder tumor was resected, and histopathology suggested a combination of endometriosis, endocervicosis, and endosalpingiosis. Pain was resolved after surgery, but the lesion recurred at 3 months, which was subsequently resected.
Article published online:
18 April 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
- 1 Young RH, Clement PB. Müllerianosis of the urinary bladder. Mod Pathol 1996; 9 (07) 731-737
- 2 Amir RAR, Taheini KM, Sheikh SS. Mullerianosis of the urinary bladder: a case report. Case Rep Oncol 2018; 11 (01) 206-211
- 3 Kudva R, Hegde P. Mullerianosis of the urinary bladder. Indian J Urol 2012; 28 (02) 206-207
- 4 Habiba M, Brosens I, Benagiano G. Müllerianosis, endocervicosis, and endosalpingiosis of the urinary tract: a literature review. Reprod Sci 2018; 25 (12) 1607-1618
- 5 Branca G, Barresi V. Müllerianosis of the urinary bladder: a rare tumorlike lesion. Arch Pathol Lab Med 2014; 138 (03) 432-436
- 6 Margulis V, Lemack GE, Molberg K, Saboorian MH. Bladder “Müllerianosis” in a woman with lower urinary tract symptoms and hematuria. J Urol 2001; 165 (6 Pt 1): 1996-1997
- 7 Donné C, Vidal M, Buttin X. et al. Müllerianosis of the urinary bladder: clinical and immunohistochemical findings. Histopathology 1998; 33 (03) 290-292
- 8 Guan H, Rosenthal DL, Erozan YS. Mullerianosis of the urinary bladder: report of a case with diagnosis suggested in urine cytology and review of literature. Diagn Cytopathol 2012; 40 (11) 997-1001
- 9 Nazeer T, Ro JY, Tornos C, Ordonez NG, Ayala AG. Endocervical type glands in urinary bladder: a clinicopathologic study of six cases. Hum Pathol 1996; 27 (08) 816-820
- 10 Almatrafi MH, Alhazmi AM, Almosaieed BN. Mullerianosis of the urinary bladder. Urol Case Rep 2020; 33: 101333