Conservative treatment with ureter stent in a delayed ureter injury due to thermal necrosis

The presenting symptom to a gynecologist for postoperative vaginal discharge, which may or may not be related to the gynecologic diagnosis. The postoperative delayed ureter injury is an unusual association with deep endometriosis surgery. Thermal necrosis can delay the ureter injury. The principle of diagnostic bias and educate gynecologists on the topic of delayed ureter injury state that delayed ureter injury due to thermal necrosis. A 45-year-old woman with menorrhagia and mild dysmenorrhea. The diagnosis was adenomyosis, a right endometrioma and deep infiltrating endometriosis (DIE) affecting the Pouch of Douglas. The management was ureter stent insertion lead to postoperative delayed ureter injury. The occurrence could be guidance to surgeons about the duration of postoperative detection for delayed ureter injury. Gynecologists should consider the presenting symptom of vaginal discharge is formulating their differential diagnosis.