Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (3): 446-449    DOI: 10.12891/ceog3894.2018
Case Report Previous articles | Next articles
Adolescent bladder endometriosis initially diagnosed as premenarchal disease: a case report and review of the literature
A. Fujishiro1, *(), H. Tsubamoto1, Y. Higuchi2, A. Kanematsu2, H. Shibahara1
1 Department of Obstetrics and Gynecology, Hyogo College of Medicine, Nishinomiya-shi, Hyogo, Japan
2 Department of Urology, Hyogo College of Medicine, Nishinomiya-shi, Hyogo, Japan
Download:  PDF
Export:  BibTeX | EndNote (RIS)      
Abstract  
Only a few cases of premenarcheal endometriosis have been reported in the literature, and bladder endometriosis accounts for 1% of all cases of endometriosis. The authors report the case of an 11-year-old girl who presented with macrohematuria due to bladder endometriosis without apparent menarchal discharge from vagina, and was initially diagnosed as premenarcheal endometriosis. MRI revealed that the lesion penetrated the bladder musculature and infiltrated the anterior wall of the lower uterine segment. She underwent transurethral biopsy and hemostasis, which revealed bladder endometriosis. After three months, she again presented with macrohematuria without exacerbation of bladder endometriosis. Periodic macrohematuria occurred after her basal body temperature dropped. Transrectal ultrasound revealed a fistula in the bladder and the internal cervical os. This is the first report of bladder endometriosis without menarchal discharge, which should be kept in mind when considering differential diagnosis of adolescent macrohematuria without apparent menarche.
Key words:  Endometriosis      Bladder      Premenarche      Adolecent     
Published:  10 June 2018     
*Corresponding Author(s):  A. FUJISHIRO     E-mail:  akiko149@hotmail.com

Cite this article: 

A. Fujishiro, H. Tsubamoto, Y. Higuchi, A. Kanematsu, H. Shibahara. Adolescent bladder endometriosis initially diagnosed as premenarchal disease: a case report and review of the literature. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 446-449.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3894.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I3/446

[1] H. Takagi, S. Yamada, J. Sakamoto, S. Fujita, T. Sasagawa. Hemostatic effects of kyukikyogaito in dienogest treatment[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 560-564.
[2] K. Chmaj-Wierzchowska, M. Wojciechowska, I. Parda, K. Plagens-Rotman, P. Rzymski, M. Wilczak. How do health problems affect the quality and everyday life of patients with endometriomas?[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 571-575.
[3] X.J. Shi, L.B. Shi, S.Y. Zhang. Mechanistic study of vitamin C attenuation of endometriotic fibrosis[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 383-390.
[4] M. Ζafrakas, Κ. Κοtronis, P. Papasozomenou, P. Eskitzis, G. Grimbizis. Extracellular matrix metalloproteinases in the etiopathogenesis of endometriosis: a systematic review and critical appraisal[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(2): 147-153.
[5] K.Y. Yun, S.Y. Hwang, H.J. Lee, S.C. Kim, J.K. Joo, D.S. Suh, K.H. Kim, K.S. Lee. The association of body mass index with incidence, stage and recurrence of endometriosis: case-control study in Korean women[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 53-56.
[6] Hue HJ, Kim SK, Choi JY, Suh DH, Kim KD, No JH, Lee JR, Jee BC, Kim YB, Jeon HW. Previous ovarian surgery increases the risk of tubal factor infertility[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 84-88.
[7] H.-H. Lee, M.-J. Mun, T.-H. Kim, Y.-S. Kim, W.-C. Jang, J.-Y. Hwang. Relationships between vitamin D receptor genetic polymorphisms and endometriosis in Korean women[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 876-880.
[8] A. Vitagliano, A. Andrisani, F. Dessole, G. Virdis, R. Cappadona, L. Marin, G. Capobianco, S. Dessole, G. Ambrosini. Rectovaginal endometriosis: head to head comparison between sonovaginography and magnetic resonance imaging[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 888-891.
[9] C. Hayashi, K. Matsumoto, K. Shinya, T. Nakajima, T. Nakao, A. Komatsu, F. Chishima, K. Kawana. The expression of angiotensin II receptors mRNA in granulosa-lutein cells in endometriosis patients who underwent ovarian surgery before in vitro fertilization[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 910-913.
[10] Songping Liu, Xin Tian, Hongyan Cui, Qiong Zhang, Keqin Hua. Feasibility of serum-free culture in isolating endometriotic stem cells[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 920-923.
[11] E.H. Comert, H. Sal, E.S. Guvendag Guven, S. Guven. Prenatal diagnosis of fetal gallbladder duplication associated with uncommon chromosomal anomaly (46, XX, t(X;10) (p11.2;q24.3) [20])[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 980-981.
[12] M. Paliga, S. Horák. Relationship between endometriosis and vitamin D status – a review[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 674-678.
[13] R. T. Ratner, A. Harris, J. Tsaltas, N. Goyal, M. Davies-Tuck, H. Najjar, O. Barel. An eight-year retrospective analysis of laparoscopic surgery for endometriosis, outcomes and complications in a large multicenter unit[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 699-703.
[14] J.H. Check, D. Check. The increased cellular permeability syndrome manifesting as severe idiopathic type urinary incontinence[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 812-814.
[15] Y.-S. Kim, J.-Y. Hwang, T.-H. Kim, E.-G. Lee, H.-H. Lee. Genome-wide association study of recurrent endometriosis related with ovarian cancer[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 553-559.
No Suggested Reading articles found!