Periureteral endometriosis: A case report

Valentina Tofiloska, Горан Димитров, Saša Jovčevski, Elena Džikova, Jadranka Georgievska
In: Medicinski casopis · 2022 · vol. 56(1) , pp. 35–37 · doi:10.5937/mckg56-34854 · W4312680747
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a rare instance of periureteral endometriosis diagnosed via CT scan in an adult patient with concurrent ovarian endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This paper is a case report describing a 26-year-old nulliparous woman initially admitted with right lower abdominal pain who underwent ultrasound, laboratory testing, and CT, leading to laparotomy with extirpation of a right ovarian lesion diagnosed histopathologically as an endometrioid cyst. After six months, she returned with recurrent symptoms and imaging that showed a left kidney hydroureteronephrosis with ureteral involvement, and cystoscopy with attempted ureteral catheterization could not pass beyond 2–3 cm from the orifice; she declined nephrostomy. The second operation and histopathology identified endometriosis ovarii sinistri, and the authors emphasize that urinary tract endometriosis can be clinically silent and that CT of the pelvis supports accurate diagnosis of this rare condition, while noting the overall diagnostic difficulty and lack of consensus on best diagnostic technique. This paper is centrally about endometriosis — specifically periureteral (urinary tract) endometriosis presenting alongside ovarian endometriosis.

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Abstract

The aim of this paper is to present a rare case of periureteral endometriosis in an adult patient as well as to emphasize the importance of suspected urinary tract endometriosis and the important role of CT of the pelvis in making an accurate diagnosis of this rare disease. The authors present a rare case of periureteral endometriosis with symptoms primarily arising from ovarian endometriosis. The diagnosis of periureteral endometriosis was determined on the basis of CT of the small pelvis and abdomen.

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endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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