Pelvic endometriosis and ureteral obstruction
Case report
OA: closed
CC0
⤵ 30 in-corpus citations
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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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References (12)
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Cited by (29)
- Ureteral endometriosis – Our experience 2020
- Ureteral endometriosis: A systematic literature review 2017
- Laparoscopic nephrectomy, hysterectomy and rectovaginal endometriotic mass removal in a single session 2007
- Laparoscopic extravesical neoureterocystostomy and vesicopsoas hitch for infiltrative ureteric and vesical endometriosis: case report 2006
- Ureteral endometriosis: the role of magnetic resonance imaging 2004
- Ureteric and pulmonary endometriosis 2001
- Three Cases of Urinary-Tract Endometriosis with Different Clinical Findings 2000
- Urinary tract endometriosis treated by laparoscopy 1996
- An unusual coincidence of endometriosis and ovarian stimulation 1995
- Bilateral extrinsic endometriosis of the ureters with renal failure: A case report 1994
- Endometriosis of the ureter 1992
- Bilateral ureteric obstruction due to recurrent endometriosis associated with hormone replacement therapy 1992
- Urinary tract endometriosis 1989
- Obstructive uropathy from endometriosis after hysterectomy and oophorectomy; two case reports 1989
- Ureteric endometriosis: 3 case reports and a review of the literature 1989
- Endometriosis of the urinary tract 1988
- Danazol in the treatment of ureteral endometriosis 1988
- Ureteral Endometriosis Treated with Combination Hormonal Therapy and Percutaneous Ureteroplasty 1988
- Endometriosis, Lesions of the Secondary Müllerian System, and Pelvic Mesothelial Proliferations 1987
- Case report and review of the literature: ureteral endometriosis 1987
- Bilateral ureteral endometriosis with end-stage renal failure 1987
- Ureteral abnormalities in women with endometriosis 1986
- Obstructive uropathy associated with endometriosis 1985
- L'Endometriosi Ureterale 1983
- Recurrence of ureteral obstruction caused by endometriosis after danazol therapy 1982
- Laparoscopy as a diagnostic aid in women with localized ureteral obstruction due to endometriosis 1980
- Urinary tract endometriosis: enigmas in diagnosis and management 1979
- The surgical treatment of endometriosis 1978
- Radiographic features of ureteral endometriosis 1978
Source provenance
- europepmc
- last seen: 2026-10-17T06:09:56.316927+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T20:59:59.992071+00:00
License: CC0
· commercial use OK