A Suprapubic Trocar Port Site Endometriosis Metastatic to Deep Bladder and Induced Right Hydroureteronephrosis: A Case Report

Cheng-Wei Yu1 , Lee-Wen Huang2 , Yieh-Loong Tsai2 and Kok-Min Seow3*

1 Department of Obstetrics and Gynecology, Shin-Kong Wu Ho-Su Memorial Hospital, Taiwan 2 Department of Obstetrics and Gynecology, College of Medicine, Fu-Jen Catholin University, Taiwan 3 Department of Obstetrics and Gynecology, National Yang-Ming University, Taiwan

^*Correspondance to: Kok-Min Seow 

 PDF  Full Text DOI: 10.25107/2474-1647.2962

Abstract

Endometriosis located at the urinary tract and/or trocar port site is extremely rare. We present the first case of endometriosis occurs at trocar port site initially, and metastatic to deep bladder and induced the complication of right hydroureteronephrosis. A 39 years old female, married, who had been previously operated on for right ovarian endometrioma 2 years ago by laparoscopy, complaining of a cyclical painful mass at the previous suprapubic trocar site for at least six months. She did not pay much attention to it. Hematuria for ten days during menstrual period was noted three months later. CT-scan demonstrated a suprapubic trocar port site mass, measured 5 cm, and suspected endometriosis. The endometriotic mass extended from suprapubic site to bladder area. Office cystoscopy revealed some papillary mass at right trigone area. Kidney ultrasonography revealed right hydroureteronephrosis. The mass was excised, and the bladder endometriosis was resected with therapeutic, Trans-Ureteral Resection of Bladder Tumor (TURBT). After the excision, both the hematuria and right hydroureteronephrosis were subsided. In conclusion, although bladder endometriosis is rare, however, if combined with hematuria and a painful mass in the trocar port scar who had a history of pelvic or obstetric surgery, the physician should consider endometriosis.

Keywords

Endometriosis; Hydroureteronephrosis; Trocar site endometriosis; Bladder endometriosis

Cite the article

Yu C-W, Huang L-W, Tsai Y-L, Seow K-M. A Suprapubic Trocar Port Site Endometriosis Metastatic to Deep Bladder and Induced Right Hydroureteronephrosis: A Case Report. Clin Surg. 2020; 5: 2962..