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Title: The menstruating bladder, an unusual cause of haematuria
Authors: Busuttil, Gerald
German, Karl
DeGaetano, James
Scerri, Albert P.
Keywords: Hematuria -- Malta -- Case studies
Hematuria -- Etiology
Ureteral obstruction
Issue Date: 2012
Publisher: Malta Medical Journal
Citation: Malta Medical Journal. 2012, Vol.24(2), p. 35-38
Abstract: A 39 year old lady presented with flank pain and haematuria. Radiological investigations showed unilateral hydronephrosis and a serum creatinine of 102?mol/l. At cystoscopy, a soft tissue mass was found in the region of the left ureteric orifice and was causing obstruction of the ureter. A resection biopsy of this lesion was taken. A CT scan and DTPA renogram showed a non-functioning left kidney secondary to chronic obstruction by a soft tissue mass at the left vesico-ureteric junction. Histological analysis of the endoscopic resection specimen showed that the mass contained tubal-type epithelium compatible with a diagnosis of endosalpingiosis (a rare variant of Mullerianosis of the urinary tract). In view of persistent symptoms, it was decided to proceed to surgery. A hysterectomy, bilateral salpingo-oophorectomy and partial cystectomy were performed. The patient has recovered well and is currently asymptomatic. Formal histology of the resection specimen showed the presence of endometriosis.
Appears in Collections:MMJ, Volume 24, Issue 2
MMJ, Volume 24, Issue 2
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