Unusual case of upper urinary tract obstruction: a case report

Amarjot Singh, Rahul Bhushan, Prerna Chadha
In: International Surgery Journal · 2017 · vol. 4(2) , pp. 819 · doi:10.18203/2349-2902.isj20170242 · W2581962801
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-08-05 ⓘ

This case report details a successful surgical treatment for left ureteric endometriosis, a rare cause of upper urinary tract obstruction, and highlights its consideration in differential diagnoses for young females.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-21 · read from full text ⓘ

This case report describes a young female patient presenting with left ureteric colic who was found to have a hard growth in the mid-ureter accompanied by dense adhesions to surrounding pelvic structures. The patient underwent a left distal ureterectomy, salpingo-oophorectomy, and psoas hitch ureteric reimplantation, which resulted in a histopathological diagnosis of left ureteric endometriosis. The authors emphasize that this condition should be considered in the differential diagnosis of ureteral obstruction in young women, particularly on the left side, and note that careful surgical excision preserves renal function. This paper is centrally about endometriosis — specifically the presentation and surgical management of ureteric endometriosis causing upper urinary tract obstruction.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Ureteric endometriosis is a very rare cause of upper urinary tract obstruction. Patients presented with left ureteric colic since 1 month, two episodes severe in intensity radiating from lt loin to groin. 2x2 cm hard growth in mid ureter with dense adhesions to peritoneum, lt fallopian tube and ovary, lt internal iliac vein and serosa of sigmoid colon, left distal ureterectomy, left salpingo-oopherectomy and psoas hitch ureteric reimplantation was performed and specimen was sent for HPE. Diagnosis of left ureteric endometriosis was made on histopathological evaluation report. This diagnosis should be considered in the D/D of ureteral obstruction in a young female especially on lt side. Carefully performed surgery in the form of ureteral excision and reimplantation preserves renal function.
Full text 1,705 characters · extracted from oa-doi-fallback · click to expand
Unusual case of upper urinary tract obstruction: a case report DOI: https://doi.org/10.18203/2349-2902.isj20170242Keywords: Ureteric endometriosis, Urinary tract obstructionAbstract Ureteric endometriosis is a very rare cause of upper urinary tract obstruction. Patients presented with left ureteric colic since 1 month, two episodes severe in intensity radiating from lt loin to groin. 2x2 cm hard growth in mid ureter with dense adhesions to peritoneum, lt fallopian tube and ovary, lt internal iliac vein and serosa of sigmoid colon, left distal ureterectomy, left salpingo-oopherectomy and psoas hitch ureteric reimplantation was performed and specimen was sent for HPE. Diagnosis of left ureteric endometriosis was made on histopathological evaluation report. This diagnosis should be considered in the D/D of ureteral obstruction in a young female especially on lt side. Carefully performed surgery in the form of ureteral excision and reimplantation preserves renal function. Metrics References Perez M, Bazan A, Dorrego JM, Hernandez A, Francisco MG, Hernández M, Santiago J, Barthel PJ. Urinary tract endometriosis: clinical, diagnostic, and therapeutic aspects. Urology. 2009;73:47-51. Frenna V, Santos L, Ohana E, Bailey C, Wattiez A. Laparoscopic management of ureteral endometriosis: our experience. J Minim Invasive Gynecol. 2007;14:169-71. Abeshouse BS, Abeshouse G. Endometriosis of the urinary tract. J Int Coll Surg. 1960;4:43-63. Horn LC, Minh M, Stilzenburg JU. Intrinsic form of ureteral endometeriosis causing ureteral obstruction and partial loss of kidney function. Urol Int. 2004;73:181-4. Rousselot F, Meillon ME. Renal endometriosis. Report of one case. Prog Urol. 1996;6:936-9.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (2)

References (3)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK