Endometriosis Presenting as Hydronephrosis

Ahmed Bakheet Zaharani, Zaharani AB, G V Soundra Pandyan, Pandyan GV
TheScientificWorldJournal · 2005 · vol. 5 , pp. 845–851 · doi:10.1100/tsw.2005.103 · PMID:16228086 · PMC5936558 · W2014073717
article OA: gold CC0 ⤵ 2 in-corpus citations
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This case report details a young female with hydronephrosis due to extrinsic ureteric endometriosis, managed initially with dilation and hormonal therapy before requiring surgical excision and uretero-ureterostomy.

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Abstract

The most serious urological complication of endometriosis is hydronephrotic renal atrophy secondary to ureteric involvement. As only half of these patients are symptomatic, it is commonly diagnosed late and more by the clinicians awareness and suspicion of this entity. We report a case of an unmarried young female who presented primarily with left loin pain of 2-year duration. She was found to have lower ureteric stricture by an IVU done by her referring doctor. Further workup at our center showed that she had pelvic endometriosis with hydronephrosis secondary to extrinsic ureteric endometriosis. She had a first-degree relative with the same disease. She had no menstrual problems. Diagnostic laparoscopy, biopsy of the lesion, ureteric dilatation with stenting, along with hormonal treatment was given to her as first line of treatment. There was no improvement of the ureteric obstruction even after 6 months of treatment. Finally, surgical excision of the endometrioma, left oophorectomy, along with resection of the ureteric stricture with uretero-ureterostomy was done. This case report includes details of her further management and outcome along with a brief review of literature.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Endometriosis Hydronephrosis Hydronephrosis Adult Endometriosis Endometriosis Endometriosis Female Humans Hydronephrosis Hydronephrosis Hydronephrosis Magnetic Resonance Imaging Radionuclide Imaging Tomography Scanners, X-Ray Computed

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 (13)

Cited by (2)

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