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Case report
Müllerianosis of the urinary bladder with unilateral complete renal agenesis: a rare coincidental finding causing delayed presentation
  1. Shanmugasundaram Rajaian1,
  2. Lakshman Murugasen1,
  3. Deepti Jain2 and
  4. Srinivas Chakravarthy Narasimhachar2
  1. 1Department of Urology, MIOT International, Chennai, India
  2. 2Department of Pathology, MIOT International, Chennai, India
  1. Correspondence to Dr Shanmugasundaram Rajaian; ssrl25{at}gmail.com

Abstract

Müllerianosis is a rare benign lesion of the urinary bladder, which is constituted by two or more of the Müllerian-duct-derived tissues. We report a 45-year-old perimenopausal multiparous woman presenting with occasional episodes of dysuria and lower abdominal discomfort of recent duration. Ultrasound examination revealed a well-defined lesion in urinary bladder and the absence of left kidney. Contrast-enhanced CT of the abdomen confirmed the findings. During diagnostic cystoscopy, haemorrhagic polypoidal lesions were noted in the left side of the posterolateral wall and dome of urinary bladder along with the absence of left ureteric orifice. Transurethral resection of the bladder lesions was done and histology examination confirmed the diagnosis of Müllerianosis. She was administered Luteinizing hormone-releasing hormone (LHRH) agonist monthly. At 1 year of follow-up, cystoscopy showed only scar tissue. The case was reported for the rarity of Müllerianosis noted in a patient with unilateral agenesis of kidney, a possible cause of delayed presentation.

  • pathology
  • urological surgery
  • urology
  • urological cancer
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Footnotes

  • Contributors SR and LM prepared the manuscript, provided patient care and did the literature review. JD and SCN did the evaluation, analysis of the study and corrected the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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