Laparoscopic approach of primary bladder endometriosis.

OBJECTIVE: To report a case of primary bladder endometriosis treated with laparoscopic partial cystectomy. METHODS: We report the case of a 38 year old woman presenting with cyclic catamenial pain and hematuria who was diagnosed of bladder endometriosis by means of cystoscopy and MRI. Partial cystectomy using a laparoscopic approach was performed and symptoms disappeared. RESULTS: We report a well-documented case of primary bladder endometriosis and the laparoscopic approach used for its treatment. A review of the concept and the therapeutic alternatives are presented. CONCLUSIONS: Bladder endometriosis must be in mind when cyclic catamenial symptoms of pain and hematuria are present. When diagnosed, the laparoscopic approach must be considered the preferential option.

[Leiomyomatosis peritonealis disseminate. Laparoscopic management]. / Leiomiomatosis peritoneal. Caso tratado mediante laparoscopia.

Leiomyomatosis peritonealis disseminata constitutes a rare pathology of an unkown etilogy. It is chararacterized by the appearence of multiple pelvic and abdominal nodules, which are basically composed of smooth muscle. The first case was published in 1952 by Wilson and Peale although was Tubert, in 1965, the first who identified this disease as a pathology. Currently, around 100 cases can be found in literature. We present, as far as we know, the first case resolved by laparoscopic technique plus gonadotropin-releasing hormone agonist therapy.