URETERAL ENDOMETRIOSIS DIAGNOSED AT URETEROSCOPY

Gerardo Zanetta, Maurice J. Webb, Joseph W. Segura
In: Obstetrics & Gynecology · 1998 · vol. 91(Supplement) , pp. 857–859 · doi:10.1097/00006250-199805001-00029 · W4245903819
Case report OA: closed CC0 ⤵ 11 in-corpus citations
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This case report describes the first documented instance of intrinsic ureteral endometriosis diagnosed and treated successfully with ureteroscopy and medication, preserving renal function without ureteral resection.

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Abstract

In Brief Background Intrinsic ureteral endometriosis is rare. Early detection and treatment is extremely important to preserve renal function. Case A 37-year-old woman with right flank pain was diagnosed with a polypoid lesion at excretory urogram. The polyp was removed under ureteroscopy and was found to be endometriosis. Subsequent exploratory laparotomy and ureterolysis failed to document other foci of endometriosis. Resection of the ureter was not needed. She received medroxyprogesterone for 6 months, and a ureteral stent was left in place for 3 months postoperatively. Excretory urogram showed no obstruction 6 months postoperatively. Conclusion This appears to be the first reported case of ureteral endometriosis documented initially at ureteroscopy. Prompt treatment may relieve symptoms and preserve renal function. Resection of the ureter may be avoided in some patients. Intrinsic ureteral endometriosis can be diagnosed at ureteroscopy and managed without ureteral resection.

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Condition tags

endometriosis

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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