Case presentation A 55-year-old menopausal woman presented with mild pain in the abdomen and frequent micturition for five days with no gynecological complaints. Ultrasound revealed a growth inside her urinary bladder, and thus, the patient was referred to another hospital for cystoscopy and management. Clinical examination General examination: Within normal limits Pelvic examination: Upper vaginal stenosis was present, and the hardened anterior wall of the vagina was observed. Rectal examination: Right-sided parametrial induration up to the pelvic wall was present.
Examination of the uterus: Normal findings; thus, cystoscopy, biopsy, and ureteric stenting were planned. Diagnostic testing On cystoscopy: A bulge was noted in the left lateral wall and at the base of the bladder with mucosal changes. A cystoscopy-guided biopsy revealed infiltrating squamous cell carcinoma (large cell…
