Bladder endometriosis must be considered as bladder adenomyosis

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Presentation transcript:

Bladder endometriosis must be considered as bladder adenomyosis Jacques Donnez, M.D., Ph.D., Francesca Spada, M.D., Jean Squifflet, M.D., Michelle Nisolle, M.D., Ph.D. Fertility and Sterility Volume 74, Issue 6, Pages 1175-1181 (December 2000) DOI: 10.1016/S0015-0282(00)01584-3

FIGURE 1 Vaginal echography: a regular heterogeneous, hypoechogenic nodule is clearly visible in the vesical muscularis protruding into the bladder cavity. Donnez. Bladder endometriosis considered as adenomyosis. Fertil Steril . Fertility and Sterility 2000 74, 1175-1181DOI: (10.1016/S0015-0282(00)01584-3)

FIGURE 2 Intravenous pyelography demonstrates the typical aspect of an “extravesical” nodule (arrowheads), revealed by a filling defect. Donnez. Bladder endometriosis considered as adenomyosis. Fertil Steril . Fertility and Sterility 2000 74, 1175-1181DOI: (10.1016/S0015-0282(00)01584-3)

FIGURE 3 MRI shows a nodular mass in the anterior fornix adjacent to the uterine wall (arrowheads), causing extensive compression of the posterior wall. Note the absence of concomitant uterine adenomyosis. Donnez. Bladder endometriosis considered as adenomyosis. Fertil Steril . Fertility and Sterility 2000 74, 1175-1181DOI: (10.1016/S0015-0282(00)01584-3)

FIGURE 4 Vesical adenomyosis; 90% of the lesion (A) consisted of smooth muscle hyperplasia. Scarce glands with active endometrial-type epithelium and scanty stroma were visible (B). Donnez. Bladder endometriosis considered as adenomyosis. Fertil Steril . Fertility and Sterility 2000 74, 1175-1181DOI: (10.1016/S0015-0282(00)01584-3)