Failure of Laparoscopy to Relieve Ureteral Obstruction Secondary to Endometriosis

Hsing-Yu Chen, Hsing‐Yu Chen, Ming-Chao Huang, Ming‐Chao Huang, Yu-Chung Hung, Yung-Hsuen Hsu
Taiwanese journal of obstetrics & gynecology · 2006 · vol. 45(2) , pp. 142–145 · doi:10.1016/s1028-4559(09)60212-6 · PMID:17197355 · W2047848001
article OA: diamond CC0 ⤵ 4 in-corpus citations
🔓 Open OA copy View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes a patient with hydronephrosis caused by endometriosis, where laparoscopic ureterolysis was unsuccessful, necessitating later ureteral resection and reconstruction.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

OBJECTIVES: To present a case of hydronephrosis and hydroureter secondary to pelvic endometriosis and to discuss the pitfalls in laparoscopic management. CASE REPORT: A 37-year-old nulligravida woman had mild elevation of blood pressure for about 1 year without abdominal pain, dyspareunia, or dysmenorrhea. Renal ultrasound revealed left hydronephrosis and a 4-cm pelvic cyst. Intravenous pyelogram showed distal ureteral obstruction. An MRI with fat saturation disclosed a left ovarian endometrioma and a lesion in the uterosacral ligament causing periureteral compression. Laparoscopic findings included a dilated left ureter above the uterosacral ligament, left uterosacral ligament endometriosis with adhesions, and a 4-cm left ovarian endometrioma. Cystoureteroscopy showed external ureteral compression 2 cm above the ureteral orifice. A ureteral catheter was placed. The left endometrioma was enucleated and ureterolysis was performed. The latter procedure had to be discontinued because of bleeding from descending uterine vessels. The ureteral catheter was removed 2 months later and her blood pressure gradually returned to normal. However, after 1 year, she was found to have recurrent hydronephrosis and underwent segmental resection of the distal ureter and reconstruction by end-to-end reanastomosis. CONCLUSION: In women of reproductive age, hydronephrosis and hypertension may be the only symptoms of endometriosis. While laparoscopic treatment is useful in endometriosis, it may fail in the presence of chronic inflammation and severe fibrosis.

My notes (saved in your browser only)

Condition tags

endometriosisendometriomadysmenorrheadyspareunia

MeSH descriptors

Adnexal Diseases Adnexal Diseases Endometriosis Endometriosis Laparoscopy Ureteral Obstruction Ureteral Obstruction Adnexal Diseases Adnexal Diseases Adult Endometriosis Endometriosis Female Humans Hydronephrosis Hydronephrosis Hydronephrosis Magnetic Resonance Imaging Pelvis Plastic Surgery Procedures

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 (17)

Cited by (4)

Source provenance

europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:15:06.633332+00:00
License: CC0 · commercial use OK