Intrinsic Form of Ureteral Endometriosis Causing Ureteral Obstruction and Partial Loss of Kidney Function

Lars‐Christian Horn, Horn LC, L-C Horn, Do Minh M, M. Do Minh, J.‐U. Stolzenburg, Stolzenburg JU, J-U Stolzenburg
Urologia internationalis · 2004 · vol. 73(2) , pp. 181–184 · doi:10.1159/000079702 · PMID:15331906 · W2016280148
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This report details a rare intrinsic ureteral endometriosis case in a 49-year-old woman that caused ureteral obstruction and partial kidney function loss, requiring uretero-ureterostomy.

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Abstract

INTRODUCTION: Urinary tract endometriosis is rare and occurs in about 1% of all endometriotic lesions. About 30% of patients suffer from reduced kidney function at the time of diagnosis. CASE REPORT: A 49-year-old woman presented with a history of abdominal hysterectomy without adnexae because of uterus myomatosus without any signs of endometriosis 6 years before. Now she complained of dysuria and intermittent left loin pain. Sonography and retrograde pyelography demonstrated incomplete ureteric obstruction and scintigraphy revealed a partial loss of kidney function. Intraoperatively frozen section histology and final histologic examination demonstrated a tumor-like intrinsic form of ureteral endometriosis engulfing the left ureter. The patient was treated with uretero-ureterostomy and danazole for preventing recurrence. She is well 28 months postoperatively. CONCLUSIONS: In the extrinsic form (about 75% of all cases), ureteral endometriosis is localised to the adventitia or surrounding connective tissue of the ureter, whereas the intrinsic form of ureteral endometriosis is very rare and more often needs aggressive surgery.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Kidney Diseases Ureteral Obstruction Endometriosis Female Humans Kidney Diseases Middle Aged Ureteral Diseases Ureteral Diseases Ureteral Obstruction

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (18)

Cited by (27)

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