Endometriosis causing ureteral obstruction.

D W Laube, Laube Dw, Calderwood Gw, G W Calderwood, Benda JA, J A Benda
Obstetrics and gynecology · 1985 · vol. 65(3 Suppl) , pp. 69S–71S · PMID:3974978 · W207930192
article OA: closed CC0 ⤵ 8 in-corpus citations
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This report details five cases of obstructive uropathy caused by endometriosis, finding significant hydronephrosis and renal compromise, with four of five patients showing radiographic improvement after treatment.

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Abstract

Although endometriosis accounts for 15 to 20% of all gynecologic laparotomies, ureteral obstruction secondary to this disease has received little attention. This may be partly the result of diagnostic difficulties secondary to the unusual symptoms and atypical age groups of the patients. Five cases of obstructive uropathy caused by endometriosis are reported. Each case was documented by urologic evaluation as well as excretory urograms, surgical exploration, and histologic confirmation. All patients had significant radiographic and laboratory renal compromise, including marked degrees of hydronephrosis. Follow-up included excretory urograms obtained in all cases, which showed cure of original symptoms with radiographic improvement in four of five patients, whereas one patient developed chronic renal failure and hypertension. The present report suggests that with thorough preoperative assessment of the urinary tract, including contrast radiography in select cases of pelvic pathology, curative gynecologic and urologic surgery can be performed.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Pelvic Neoplasms Ureteral Obstruction Adult Endometriosis Endometriosis Female Humans Hydronephrosis Hydronephrosis Hysterectomy Hysterectomy Middle Aged Pelvic Neoplasms Pelvic Neoplasms Radiography Ureteral Obstruction Ureteral Obstruction Ureteral Obstruction

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.

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License: CC0 · commercial use OK