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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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

The paper describes clinical, radiologic, and anatomopathologic characteristics of vesicoureteral obstructive uropathy secondary to endometriosis. It reports observations from relevant urologic cases (population details and methods are presented as a case-based description) with emphasis on imaging and surgical/pathologic findings. The key findings characterize the obstructive features and the underlying endometriosis-related pathology at the vesicoureteral level, linking clinical presentation with radiologic appearance and histologic confirmation. A major limitation is that the article presents limited, case-based evidence rather than a broader analytic cohort, which constrains generalizability. This paper is centrally about endometriosis — specifically vesicoureteral endometriosis causing obstructive uropathy.

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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

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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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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