We present a case of a 22-year-old nulliparous woman, initially investigated by a urologist after she presented with a history of urinary tract symptoms including catamenial hematuria and suprapubic pain.  Ultrasonographic and cystoscopic findings suggested a bladder mass suspicious for endometriosis. Further MRI revealed a 3 X 4 cm mass in the bladder, and the diagnosis of endometriosis was confirmed by the biopsy. Consequently, the patient was offered treatment options including combined laparoscopic and transurethral resection of the bladder lesion for definitive diagnosis and treatment. Using a combination of hydrodissection and CO2 laser energy laparoscopically and monopolar electro-surgery cystoscopically, the lesion was resected uneventfully and the bladder defect was repaired laparoscopically. The patient was discharged on the same day with a Foley catheter, which was removed 10 days later. After 8 weeks follow up period, she remained free of symptoms. Histopathology confirmed endometriosis. We conclude that this combined approach is feasible, safe and effective therapy for intramural bladder endometriosis.

Background Aims: In this study, the effects of perfusion pressure, insulin, L-carnitine, propionate and 2,4-dinitrophenol on the utilization and oxidation of acetoacetate were investigated in the isolated nonworking perfused heart from normal and diabetic rats. Materials and Method: Hearts from Male Wistar albino rats were used. In the diabetic subgroup, Diabetes was induced by an intravenous injection of alloxan. The hearts were perfused at a perfusion pressure of 40 or 80 mmHg for 1 h with Krebs-Henseleit Medium, with the concentrations of calcium and magnesium halved, and oxygenated by equilibration with 5% carbon dioxide and 95% oxygen. Determination of acetoacetate and D-3-hydroxybutyrate levels were made by the method of Mellanby and Williamson and Williamson and Mellanby respectively, and comparison between groups was done using the twotailed Student's t-test for independent samples.