{"paper_id":"2d67da0a-1390-4bb6-b65f-be9951998289","body_text":"Abstract\nBackground\nEndometriosis is a common disease, but ureteral involvement is rare. Nonspecific clinical presentations of ureteral endometriosis may result in diagnostic difficulty.\nAim\nTo discuss the diagnosis and management of such a case.\nMethods\nTo report a case of ureteral involvement with endometriosis and review the literature.\nResults\nThe case presented with right lower quadrant pain giving rise to initial diagnostic possibility of acute appendicitis. Subsequent evaluation revealed the diagnosis of right pyonephrosis due to midureteral endometriosis with right ovarian mucinous cystadenoma.\nConclusion\nThe diagnosis of ureteral endornetriosis requires a high index of clinical suspicion. The importance of ultrasound in the evaluation of acute abdomen in women can not be overemphasised.\nSimilar content being viewed by others\nReferences\nMoore JG, Hibbard LT, Growdon WA, Schifrin BS. Urinary tract endometriosis: enigmas in diagnosis and management.Am J Obstet Gynecol 1979; 134: 162–72.\nPlous RH, Sunshine R, Goldman H, Schwartz IS. Ureteral endometriosis in post-menopausal women.Urology 1985; 26: 408–411.\nYohannes P. Ureteral endometriosis.J Urol 2003; 170: 20–25.\nVercellini P, Pisacreta A, Pesole A, Vincentini S, Stellato G, Crosignani E. Is ureteral endometriosis an asymmetric disease?BJOG 2000, 107: 559–561.\nAllemann F, Cassina P, Rothlin M, Largiader F. Ultrasound scans done by surgeons for patients with acute abdominal pain: a prospective study.Eur J Surg. 1999; 165: 966–70.\nKlein RS, Cattolica EV. Ureteral endometriosis.Urology 1979; 13: 477–482.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nGiri, S.K., Long, R.M., Barry, D. et al. Ureteral endometriosis and ovarian mucinous cystadenoma presenting with acute pyonephrosis. Ir J Med Sci 174, 67–70 (2005). https://doi.org/10.1007/BF03168524\nIssue date:\nDOI: https://doi.org/10.1007/BF03168524","source_license":"CC0","license_restricted":false}