Rare Case Report: Bladder Endometriosis Presenting with Chronic Hematuria in a 34-Year-Old Female

Abstract

Bladder endometriosis (BE) is an uncommon manifestation of endometriosis, a condition traditionally characterized by the presence of endometrial-like tissue outside the uterus. This rare form of endometriosis can present as chronic hematuria, pelvic pain, and urinary disturbances, often mimicking more common urological conditions. This report describes a 34-year-old female, Rabia Owais, who presented with a six-year history of cyclical hematuria, ultimately diagnosed with bladder endometriosis following extensive imaging and histopathological evaluation. This case highlights the diagnostic challenges and the importance of considering bladder endometriosis in patients with persistent hematuria. We review current literature on this rare condition and suggest future considerations for management and diagnosis.