[A case of ureteral endometriosis; the usefulness of MRI for preoperative diagnosis].

M Harada, Harada M, Kase T, T Kase, Tajima M, M Tajima, Y Sawamura, Sawamura Y, Yoshihiro Sawamura, Matsushima M, M Matsushima, Makoto Matsushima, Wakayama M, M Wakayama, Kuwajima A, A Kuwajima, Yokoyama M, Masayuki Yokoyama, M Yokoyama
Hinyokika kiyo. Acta urologica Japonica · 1992 · vol. 38(2) , pp. 207–11 · PMID:1561958 · W2401941843
article OA: closed CC0 ⤵ 6 in-corpus citations
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This paper reports a case of ureteral endometriosis diagnosed preoperatively with MRI, which demonstrated an ovarian endometrioma causing a ureteral stricture, successfully treated with partial ureterectomy and LH-RH agonist.

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Abstract

A rare case of ureteral endometriosis is reported. A 46-year-old nulliparous woman was referred to our hospital because of right hydronephrosis which was detected by ultrasonography; Drip infusion pyelography showed right hydroureteronephrosis with the distal obstruction. MRI demonstrated right ovarian endometriosis and resultant ureteral stricture. Based on these findings, we made a preoperative diagnosis of right ureteral endometriosis. Right partial ureterectomy and ureteroureterostomy were performed. Pathological examination of the resected segment showed endometrial tissue around the ureteral lesion. She was administered LH-RH agonist (buserelin); her postoperative course was uneventful. IP showed no abnormalities 6 weeks after the operation. To our knowledge, this case is only the 55th case reported in the literature in Japan.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Magnetic Resonance Imaging Ureteral Neoplasms Endometriosis Endometriosis Female Humans Japan Japan Middle Aged Ureteral Neoplasms Ureteral Neoplasms

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