Endocervicosis of the bladder -: A case report

BACKGROUND: Endocervicosis of the bladder is a rare, benign lesion characterized by mucinous endocervical epithelium within the detrusor muscle of the bladder. CASE: A 48-year-old woman presented with a history of dysuria for the past week and pelvic pain for the past 6 months. Her history was significant for 2 prior cesarean sections. Transvaginal pelvic ultrasound revealed a mass protruding into the bladder. Cystoscopy and magnetic resonance imaging of the pelvis confirmed this finding. A total abdominal hysterectomy and partial cystectomy were performed. Pathology of the bladder wall revealed endocervicosis. The patient remained symptom free at 6 months. CONCLUSION: Endocervicosis of the bladder wall is a rare lesion, and the diagnosis is difficult to make both clinically and pathologically. The diagnosis should be considered in any woman presenting with pelvic pain, dysuria and frequency. Gynecologists should be aware of this condition for proper diagnostic and surgical management.