Publications

Authors:

Fedele, Luigi; E., Piazzola; Raffaelli, Ricciarda; S., Bianchi

Title:

Bladder endometriosis: Deep infiltrating endometriosis or adenomyosis?

Year:

1998

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Format:

A Stampa

Referee:

Sì

Name of journal:

Fertility and Sterility

ISSN of journal:

0015-0282

N° Volume:

69

Number or Folder:

5

Page numbers:

972-975

Keyword:

Endometriosis; bladder; Adenomyosis

Short description of contents:

Objective: To describe the anatomopathologic characteristics of endometriosis infiltrating the bladder detrusor. Design: Descriptive anatomopathologic study. Setting: Tertiary care center for endometriosis. Patient(s): Four patients, aged 22-38 years, who underwent laparotomy for bladder endometriosis. Intervention(s): Surgical excision and pathologic analysis of bladder endometriotic nodules in four patients. Main Outcome Measure(s): Gross and microscopic characteristics of endometriotic nodules. Result(s): A nodule of adenomyosis on the anterior wall of the uterus, in continuity with the detrusor lesion, was excised in three patients. In the other patient, bladder endometriosis was continuous with a nodule that infiltrated the left parametrium and extended as far as the posterior leaf of the ipsilateral broad ligament. Microscopically, all of the lesions had a similar histologic pattern: foci of endometriosis scattered in the bladder wall. The main feature was the paucity of endometrial-type stroma, particularly in the bladder submucosa, where glands were almost always dilated and cyst-like and were lined by flattened cells. Conclusion(s): Analysis of our patients, although it does not pinpoint the pathogenesis of the disease, seems to exclude the hypothesized intraperitoneal origin of endometriotic lesions of the bladder detrusor.

Product ID:

6469

Handle IRIS:

11562/6469

Deposited On:

November 10, 2012

Last Modified:

February 28, 2024

Bibliographic citation:

Fedele, Luigi; E., Piazzola; Raffaelli, Ricciarda; S., Bianchi, Bladder endometriosis: Deep infiltrating endometriosis or adenomyosis? «Fertility and Sterility» , vol. 69 , n. 5 , 1998 , pp. 972-975

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