Male Endometriosis: Extremely Rare Condition with Unusual Presentation as Haematuria—A Case Report

IF 0.4 4区 医学 Q4 SURGERY
Abhishek Mandal, Om Tantia, Jayati Datta, Subhendu Roy
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Abstract

Male endometriosis is a rare condition whose exact cause remains elusive, with only a handful of cases (17 cases) documented in literature. In the instances reported previously, endometriotic lesions were frequently observed affixed to the urinary bladder, in the inguinal region, and within the lower abdomen. Proposed explanations for its origin point to a hyper estrogenic environment, possibly linked to prolonged estrogen treatment, cirrhotic liver disease, or chronic surgical inflammation.

We report here a rare case of male endometriosis in a 52-year-old diabetic man, who exhibited unusual hematuria and was subsequently diagnosed to have a mass related to the urinary bladder on investigation. Surgical removal and histopathological examination validated the diagnosis. Notably, known etiological factors of male endometriosis were not present in this patient. It is conceivable that persistent embryonic remnants or latent non-alcoholic fatty liver disease in the context of Type II diabetes or obesity may have contributed in the development of endometriosis.

Abstract Image

男性子宫内膜异位症:极度罕见、表现为血尿的疾病--病例报告
男性子宫内膜异位症是一种罕见的疾病,其确切病因至今仍难以捉摸,仅有少数病例(17 例)见诸文献。在之前报道的病例中,子宫内膜异位症病灶经常附着在膀胱、腹股沟区和下腹部。我们在此报告了一例罕见的男性子宫内膜异位症病例,患者为一名 52 岁的糖尿病男性,表现为异常血尿,随后经检查被诊断为膀胱相关肿块。手术切除和组织病理学检查证实了这一诊断。值得注意的是,该患者并不存在已知的男性子宫内膜异位症病因。可以想象的是,持续的胚胎残留物或潜伏的非酒精性脂肪肝(二型糖尿病或肥胖症)可能会导致子宫内膜异位症的发生。
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来源期刊
CiteScore
0.60
自引率
25.00%
发文量
412
审稿时长
6-12 weeks
期刊介绍: The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.
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