Endometriosis of the Urinary Bladder Causing a Right Hydronephrosis: A Case Report

Tuqa A Alsinan, Tuqa Adil Alsinan, Lana Alaa AlDahleh, Hajar Adel A Alreefi, Skenah A Albiabi, Yara O Alsouss, Fatimah A Alshayeb, Zahra H Alshurafa, Zahra Alshurafa, Alaa A Moukhtar Hammad, Waleed Altaweel, Waleed M Altaweel
The American journal of case reports · 2019 · vol. 20 , pp. 1360–1363 · doi:10.12659/ajcr.917445 · PMID:31519867 · PMC6761704 · W2973225251
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Abstract

BACKGROUND Endometriosis is a chronic and benign condition in which endometrial glands and stroma are present outside the uterine cavity. The pathogenesis of endometriosis is not fully understood; however, several mechanisms have been hypothesized. Endometriosis is a common clinical presentation in gynecology, but affecting the urinary tract is a rare phenomenon, occurring in 0.3-12% of cases. In more severe forms, the initial presentation may be hydronephrosis or infertility. CASE REPORT We describe the case of a 25-year-old Saudi woman who presented with obstructive urinary tract symptoms and was diagnosed with urinary bladder endometriosis complicated with a right hydronephrosis. After thorough investigations and workups, the management was taken on by a multidisciplinary team approach. CONCLUSIONS This case report shows that hormonal therapy management resulted in a satisfactory outcome contrary to the surgical resection approach that is discussed in many articles.

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Condition tags

endometriosisbladder_endometriosisinfertility

MeSH descriptors

Endometriosis Hydronephrosis Urinary Bladder Diseases Adult Endometriosis Female Humans Hydronephrosis Urinary Bladder Diseases

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