Pelvic endometriosis and ureteral obstruction

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AI-generated summary by claude@2026-06, 2026-06-09

This paper investigates the relationship between pelvic endometriosis and ureteral obstruction, detailing its clinical presentation, diagnostic approaches, and management strategies.

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Abstract

Pelvic endometriosis may completely obstruct the ureters and destroy the kidneys with little or no gynecologic symptoms. Five cases are discussed, all causing ureteral obstruction. Two patients suffered the complete loss of a kidney and in each case the remaining kidney was in jeopardy because of partial obstruction due to endometriosis. All these patients were treated by complete removal of all ovarian tissue, dissection of the ureter, and dissection of the scar tissue. In severe cases, retroperitoneal clamping of the infundibular pelvic ligament with clear exposure of the ureter is mandatory to avoid leaving small remnants of ovary in the infundibular ligament clamp. With complete removal of all ovarian tissue, postoperative estrogen therapy will not cause recurrence of the disease.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Pelvic Neoplasms Ureteral Obstruction Adult Castration Castration Endometriosis Endometriosis Endometriosis Endometrium Endometrium Estrogens Estrogens Female Follow-Up Studies Humans Hysterectomy Middle Aged Neoplasm Recurrence, Local Pelvic Neoplasms

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 (12)

Cited by (30)

Source provenance

europepmc
last seen: 2026-07-30T06:25:42.655704+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-14T05:58:58.463083+00:00
License: CC0 · commercial use OK