{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:32:41Z","timestamp":1788827561704,"version":"build-2803163510"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T00:00:00Z","timestamp":1585872000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T00:00:00Z","timestamp":1585872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>M\u00fcllerianosis is a very rare neoplasm composed of two or three M\u00fcllerian derived tissues (endosalpinx, endometrium and endocervix). We report the first case of concurrent m\u00fcllerianosis of the urinary bladder and the umbilicus presenting with umbilical bleeding.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>A 43-year-old Asian premesopausal female, gravida 1, para 1, presented with intermittent umbilical bleeding. An umbilical nodule and a bladder tumor on the posterior wall of the urinary bladder were identified. She underwent transurethral resection of the bladder tumor and excision of the umbilical nodule successively. Diagnosis of m\u00fcllerianosis was confirmed by the histological and immunological features. No tumor recurrence was noted at 6\u2009months of follow-up.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>M\u00fcllerianosis is extremely rare and mainly reported in the urinary bladder, and generally affects women of reproductive age. Despite the common presentations of m\u00fcllerianosis of the urinary bladder including irritative voiding symptoms, abdominal\/pelvic pain and gross hematuria, our rare case had no symptom except umbilical bleeding. The possibility of concurrent bladder m\u00fcllerianosis should be considered when m\u00fcllerianosis is found at other location. We suggest a surgical intervention to establish the correct pathological diagnosis because it is essential to exclude malignant neoplasms of the urinary bladder. The majority of patients have a favorable prognosis.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12905-020-00929-3","type":"journal-article","created":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T10:07:53Z","timestamp":1585908473000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Concurrent m\u00fcllerianosis of the urinary bladder and the umbilicus presenting with umbilical bleeding: a rare case report and review of the literature"],"prefix":"10.1186","volume":"20","author":[{"given":"Syu","family":"Jhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Chen","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,4,3]]},"reference":[{"issue":"11","key":"929_CR1","doi-asserted-by":"publisher","first-page":"997","DOI":"10.1002\/dc.21693","volume":"40","author":"H Guan","year":"2012","unstructured":"Guan H, Rosenthal DL, Erozan YS. 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