Ureteral Endometriosis with Renal Loss: A Case Report

Chien-Hua Chen, Teh-Sheng Hsieh, Chih‐Min Lin
In: 臺灣泌尿科醫學會雜誌 · 2004 · vol. 15(4) , pp. 185–189 · W2299010106
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Abstract

Endometriosis is a common disease, but ureteral involvement is relatively rare. Endometriotic ureteral obstruction is a serious event commonly diagnosed late and which usually results in a high rate of renal loss before recognition. This case report describes a female patient who presented with ureteral stricture and impaired renal function secondary to endometriosis. She was previously healthy but had suffered from insignificant right flank soreness for 3 to 4 months before this admission. Imaging studies and ureteroscopy showed a right sac-like kidney with a right lower ureteral stricture. She underwent surgical intervention and a subsequent short period of hormonal therapy. We concluded that since ureteral endometriosis is usually silent and results in a high rate of renal loss before diagnosis, physicians should be aware of this uncommon but serious manifestation of endometriosis. Furthermore, surgical intervention is inevitable for cases with no response to hormonal therapy, and this should be included in the differential diagnoses of ureteral obstruction in female patients.

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endometriosis

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