Ureteric and pulmonary endometriosis

Michael Ludwig, M Ludwig, O Bauer, G J Wiedemann, G. Wiedemann, K Diedrich
Archives of gynecology and obstetrics · 2001 · vol. 265(3) , pp. 158–161 · doi:10.1007/s004040100182 · PMID:11561747 · W1967681912
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-10 ⓘ

This case report details a patient with rare ureteric and pulmonary endometriosis, initially mimicking metastatic gynecologic cancer, which successfully responded to goserelin acetate treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This paper reports what it describes as the first documented case of endometriosis involving both ureteric and pulmonary sites. The authors present a patient whose radiographs showed pulmonary lesions interpreted clinically as “pulmonary metastases” with hydronephrosis mimicking an unknown-primary malignant gynecologic tumor; laparoscopy revealed severe endometriotic lesions, leading them to attribute the findings to endometriosis. The patient received goserelin acetate for six months, after which control radiographs showed complete regression of the pulmonary lesions and the patient remained symptom-free 36 months after diagnosis, with the main limitation being that this is a single case report. This paper is centrally about endometriosis — it details ureteric and pulmonary endometriosis presenting with malignancy-mimicking imaging.

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Abstract Pulmonary lesions and ureter involvement are rare complications of endometriosis. We describe the first case with an involvement of both sites in this condition. The radiographs showed ”pulmonary metastases” together with clinical findings of a hydronephrosis, mimicing a malignant metastatic gynecologic tumor of unknown primary. A laparoscopy showed severe endometriotic lesions; therefore the findings were most likely related to the condition of endometriosis. The patient was treated with gosereline acetate for six months (Zoladex®). Control radiographs showed complete regression of the pulmonary lesions and the patient is symptom free at 36 months after diagnosis. Similar content being viewed by others Author information Authors and Affiliations Additional information Received: 10 January 2001 / Accepted: 28 February 2001 Rights and permissions About this article Cite this article Ludwig, M., Bauer, O., Wiedemann, G. et al. Ureteric and pulmonary endometriosis. Arch Gynecol Obstet 265, 158–161 (2001). https://doi.org/10.1007/s004040100182 Issue date: DOI: https://doi.org/10.1007/s004040100182

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Lung Diseases Ureter Adult Endometriosis Endometriosis Endometriosis Female Goserelin Goserelin Humans Lung Diseases Lung Diseases Lung Diseases Tomography, X-Ray Computed Ureter

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 (33)

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