Ureteric Endometriosis with Adenomyosis: A Rare Association Leading to the Death of a Kidney
A 34-year-old female with severe dysmenorrhea and flank pain underwent nephroureterectomy and hysterectomy for ureteric endometriosis and adenomyosis causing a non-functioning kidney.
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This paper reports a 34-year-old woman with long-standing severe dysmenorrhea and recurrent right flank pain, in whom imaging identified a right parametrial mass encasing the right lower ureter, causing severe hydroureteronephrosis and loss of kidney function. She initially received danazol with symptom improvement and had a double-J stent placed to relieve obstruction, but she relapsed after stopping danazol and after stent removal, ultimately developing infection and a non-functioning kidney, leading to right nephroureterectomy with total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histopathology showed endometrial tissue involving the right ureteric wall along with adenomyosis and chocolate ovarian cysts, with follow-up described as uneventful over 12 months; a key limitation is that this is a single case report. This paper is centrally about endometriosis — specifically ureteric endometriosis coexisting with adenomyosis causing obstructive uropathy and renal loss.
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References (6)
- Danazol in the Treatment of Ureteral Endometriosis via openalex
- The use of JJ stent in the management of deep endometriosis lesion, affecting or potentially affecting the ureter: a review of our practice via openalex
- Ureteral Endometriosis via openalex
- Ureteral endometriosis and loss of renal function: mechanisms and interpretations via openalex
- Ureteral Endometriosis with Obstructive Uropathy via openalex
- W166318611 via openalex
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