Bilateral Ureteral Involvement in Endometriosis - Case Report

Musab, Köse, Arda, Tongal, Ali Nihat, Gökcan, Mehmet, Gündoğan, Erkan, Arslan, Hakan, Türk
2023 · doi:10.5281/zenodo.10020757 · W6911478122
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⚙ AI-generated summary by claude@2026-07, 2026-07-16 ⓘ

This case report describes a 48-year-old female with bilateral ureteral obstruction caused by endometriosis, which was successfully treated with surgical resection and ureteroneocystostomy.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-16 · read from full text ⓘ

The paper reports a case of a 48-year-old woman with rare persistent bilateral ureteral obstruction leading to hydroureteronephrosis. Imaging identified the obstruction but did not clarify the cause; exploratory laparotomy found endometriosis involving the ureters with surrounding fibrotic foci, which were resected, followed by ureteroneocystostomy. After surgery, the patient’s clinical condition improved and follow-up showed no recurrence, though as a case report the findings are limited to this single patient. This paper is centrally about endometriosis — specifically bilateral ureteral involvement causing persistent ureteral obstruction.

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Abstract

Ureteral endometriosis is a rare pathology that, if left untreated, can lead to renal damage. In this case, we present a 48-year-old female patient with a rare persistent bilateral ureteral obstruction and hydroureteronephrosis. Imaging revealed the obstruction but was not helpful in illuminating the etiology. In the patient who underwent exploratory laparotomy, the affected ureter and surrounding fibrotic foci were resected, and ureteroneocystostomy was performed. During follow-up, the patient's clinical condition improved, and no recurrence was observed. Consequently, ureteral endometriosis is a rare pathology, and imaging may not be helpful in determining the etiology. It should be considered in the differential diagnosis of resistant obstructions.
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Bilateral Ureteral Involvement in Endometriosis - Case Report Authors/Creators - 1. Department of Urology, Uşak University, Training and Research Hospital, Usak, Türkiye - 2. Department of Pathology, Uşak University, Training and Research Hospital, Usak,Türkiye Contributors Contact person: Data collector (4): Data manager: - 1. Department of Pathology, Uşak University, Training and Research Hospital, Usak,Türkiye Description Ureteral endometriosis is a rare pathology that, if left untreated, can lead to renal damage. In this case, we present a 48-year-old female patient with a rare persistent bilateral ureteral obstruction and hydroureteronephrosis. Imaging revealed the obstruction but was not helpful in illuminating the etiology. In the patient who underwent exploratory laparotomy, the affected ureter and surrounding fibrotic foci were resected, and ureteroneocystostomy was performed. During follow-up, the patient's clinical condition improved, and no recurrence was observed. Consequently, ureteral endometriosis is a rare pathology, and imaging may not be helpful in determining the etiology. It should be considered in the differential diagnosis of resistant obstructions. Files ureteral+endometriosis.pdf Files (298.0 kB) | Name | Size | Download all | |---|---|---| | md5:75f1973b3252266dc01c553559ea2512 | 298.0 kB | Preview Download |

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