CC BY 4.0 · Journal of Health and Allied Sciences NU
DOI: 10.1055/s-0043-1764360
Case Report

Urinary Bladder Mullerianosis Causing Recurrent Abdominal Pain: A Rare Case Report and Review of the Literature

Manjeet Kumar
1   Department of Urology, IGMC, Shimla, Himachal Pradesh, India
Kailash Chander Barwal
1   Department of Urology, IGMC, Shimla, Himachal Pradesh, India
Girish Kumar Sharma
1   Department of Urology, IGMC, Shimla, Himachal Pradesh, India
Kavita Mardi
2   Department of Pathology, IGMC. Shimla, Himachal Pradesh, India
Pamposh Raina
1   Department of Urology, IGMC, Shimla, Himachal Pradesh, India
Sanjeev Sharma
3   Department of Surgery, RGGPAC, Paprola, Kangra, Himachal Pradesh, India
› Author Affiliations
Funding 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.

Publication History

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. (

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