Abstract
BackgroundWe report a rare and unusual case of endometriosis in the vesico-vaginal septum. The location of this disease at this site is so uncommon that the literature about is very rare.Case presentationA 41-year-old female was presented with urinary symptoms. There was history of caesarean section. Physical examination revealed an anterior vaginal wall mass. Pelvic MRI showed an inter vesico-vaginal mass, suggesting a leiomyoma. Surgical excision was performed by the vaginal route. There were no postoperative complications. Histopathology examination showed focal endometriosis.ConclusionEndometriosis of the anterior compartment remains relatively rare; its localization to the vesico-vaginal septum (VVS) is very rare. With the occurrence of nonspecific cyclic urinary signs in women during periods of genital activity, endometriosis should be mentioned, especially in the presence of an antecedent of pelvic surgery.
Highlights
Three types of endometriosis have been described, often associated with each other: peritoneal superficial endometriosis; ovarian endometrioma and; deep infiltrating endometriosis (DIE). The latter is defined as endometriosis that penetrates more than 5 mm under the peritoneal surface
We report a rare and unusual case of endometriosis in the vesico-vaginal septum
Posterior involvement accounts for 90% of cases of deep endometriosis
Summary
We report a rare and unusual case of endometriosis in the vesico-vaginal septum. Pelvic ultrasound revealed a heterogeneous inter vesico-vaginal mass measuring 60/40 mm. Posterior involvement accounts for 90% of cases of deep endometriosis. The uterosacral ligament is the most frequent localization of deep infiltrating endometriosis (52.7%) [1, 2].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
