#1354

Bladder Endometriosis Masquerading as a Bladder Mass: A Diagnostic Challenge

D. Soni¹, D. Singh¹, D. Bhirud¹, D. Navriya¹, D. Choudhary¹, D. Sandhu¹

¹AIIMS Jodhpur, Urology, Jodhpur, India

Introduction:

Bladder endometriosis (BE), a rare form of deep infiltrating endometriosis, affects about 7% of endometriosis cases, often presenting with suprapubic pain or dysuria, worsened during menstruation. This case highlights an unusual BE presentation mimicking a bladder mass.

Material and methods:

A 38-year-old woman from Jodhpur, India, with known pelvic endometriosis, reported two years of cyclical suprapubic pain during micturition. Imaging showed bladder wall thickening, and cystoscopy revealed a 2 × 2 cm bluish mass on the posterolateral wall, initially suspected as a tumor. Transurethral resection of bladder tumor (TURBT) under general anesthesia

Results:

Postoperative recovery was uneventful, and she was discharged on day 4. Histopathology confirmed BE and ER-α positivity, with no evidence of malignancy.