Uropatía obstructiva secundaria a endometriosis vesicoureteral: características clínico-radiológicas y anatomopatológicas

Jorge Calvo, J Calvo Pulido, A J Márquez Moreno, A. Moreno, E Julve Villalta, Emilio Julve Villalta, F M Antuña Calle, Marc Jiménez, M V Ortega Jiménez, J J Sánchez Carrillo, Francisco Amores Ramírez, F Amores Ramírez, A Martín Palanca
Archivos espanoles de urologia · 2009 · vol. 62(8) , pp. 653–6 · doi:10.4321/s0004-06142009000800008 · PMID:19893139 · W2127412740
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details a 37-year-old woman with urinary tract endometriosis causing obstructive uropathy, characterized by imaging findings of bladder trigone protrusion and hydronephrosis, managed surgically.

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Abstract

OBJECTIVES: To report the case of a 37 year-old woman suffering from endometriosis of the urinary tract, that presented with lumbar and pelvic pain associated to cyclic recurrent haematuria. METHODS: Following history, physical examination, abdomino-pelvic ultrasound (USS), CT scan and cystoscopy with biopsies, surgical treatment was indicated RESULTS: Imaging (USS-CT ) revealed a protrusion of the left bladder hemi-trigone with a nodular, irregular thickening and ipsilateral grade II-III/IV uretero-hydronefrosis. Cistoscopy confirmed a swollen and oedematous lesion in left hemi-trigone that seemed extrinsic in origin. With the clinical diagnosis of a possible neoplasia of gynaecological origin, the patient underwent surgical treatment consisting in radical hysterectomy with bilateral oophorectomy, partial cystectomy and left ureteroneocystostomy. CONCLUSIONS: The frequency of endometriosis in the urinary tract is relatively low and therefore, endometriosis presenting with ureteral obstruction (uretero-hydronephrosis) has been rarely reported in the literature and should be part of the differential diagnosis in young women, especially if symptoms are cyclic. The treatment is surgery and the final diagnosis by pathology report.
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UROPATÍA OBSTRUCTIVA SECUNDARIA A ENDOMETRIOSIS VÉSICO-URETERAL: CARACTERÍSTICAS CLINICO-RADIOLÓGICAS Y ANATOMOPATOLÓGICAS A. J. Márquez Moreno, J. Calvo Pulido, E. Julve Villalta, F. M. Antuña Calle, M. V. Ortega Jiménez, J. J. Sánchez Carrillo, F. Amores Ramírez, A. Martín Palanca PDF(307 KB) Archivos Españoles de Urología ›› 2009, Vol. 62 ›› Issue (8) : 653-656. DOI: 10.4321/S0004-06142009000800008 UROPATÍA OBSTRUCTIVA SECUNDARIA A ENDOMETRIOSIS VÉSICO-URETERAL: CARACTERÍSTICAS CLINICO-RADIOLÓGICAS Y ANATOMOPATOLÓGICAS - {{javascript:window.custom_author_en_index=0;}} - , {{custom_author.name_en}} {{custom_author.xref}} {{javascript:window.custom_author_en_index++;}} - {{article.zuoZhe_EN}} Author information + History + {{article.keyPoints_en}} | {{custom_ref.label}} | {{custom_citation.content}} {{custom_citation.annotation}} | {{article.reference}} {{custom_fund}} {{article.copyrightStatement_en}} {{article.copyrightLicense_en}} / | 〈 | 〉 |

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Ureteral Diseases Ureteral Obstruction Urinary Bladder Diseases Adult Endometriosis Female Humans Ureteral Diseases Ureteral Obstruction Urinary Bladder Diseases

Citation neighborhood

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