Endocervicosis, endometriosis, and endosalpingosis are choristomas derived from Müllerian tissue, collectively termed Müllerianosis. We report a 40-year-old woman with pelvic pain and dysuria who presented with a 3.2×2.5 cm bladder mass four years post-hysterectomy. Transurethral resection revealed endocervical glands and endometrial stroma deep in the bladder wall. Immunohistochemistry confirmed ER/PR positivity in glandular epithelium and CD10 positivity in stroma, establishing the diagnosis of Müllerianosis. Outcome: The patient remained asymptomatic with no recurrence over 8 years of clinical and cystoscopic follow-up. Müllerianosis is a rare benign bladder lesion that can mimic malignancy. Accurate histopathological diagnosis with immunohistochemistry is essential to avoid unnecessary radical surgery and enable hormonal therapy when indicated.
Bhartiya et al. (Fri,) studied this question.