日本産科婦人科内視鏡学会雑誌
Online ISSN : 1884-5746
Print ISSN : 1884-9938
症例報告
腹腔鏡下に摘出しえた膀胱子宮内膜症の1例
横浜 祐子堀川 道晴吉澤 明希子宮川 博栄加藤 育民片山 英人西脇 邦彦玉木 岳本谷 匡柿崎 秀宏徳差 良彦三代川 斉之千石 一雄
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2009 年 25 巻 2 号 p. 370-374

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Bladder endometriosis is a relatively rare condition, representing < 1% of all endometriosis cases.
We report a case of bladder endometriosis in a 32-year-old woman who was successfully treated by laparoscopic surgery. She had a 6-month history of urinary tract symptoms, such as pain and urgency at micturition during menstruation. A MRI showed an irregular, 1.5-cm mass in the posterior wall of the bladder. She underwent a combined transurethral and laparoscopic partial cystectomy. Histopathologic examination confirmed bladder endometriosis. She remains symptom-free 9 months after resection of the bladder endometriosis. Considering the successful outcome, conservative laparoscopic surgery appears to be an effective method with a less invasive approach in the treatment of bladder endometriosis.
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© 2009 日本産科婦人科内視鏡学会
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