[Distal stenosis of the ureter due to extrinsic endometriosis in a postmenopausal woman]

Beuke M, M Beuke, Dahlem R, R Dahlem, Fisch M, M Fisch
Aktuelle Urologie · 2006 · doi:10.1055/s-2005-870933 · PMID:16625473
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A postmenopausal woman with left-sided ureteric obstruction was found to have extrinsic endometriosis, highlighting this rare cause of hydronephrosis in non-reproductive age women.

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This case report describes a postmenopausal woman who presented with left-sided hydronephrosis caused by extrinsic ureteral stenosis. Intraoperative findings confirmed the diagnosis of endometriosis, despite the patient having no prior history of the disease and no exposure to estrogen therapy. The authors note that such cases are rare in the literature, particularly involving the urinary tract in non-reproductive age groups. This paper is centrally about endometriosis — specifically, it documents an unusual presentation of deep infiltrating endometriosis causing ureteral obstruction in a postmenopausal patient without prior hormonal treatment.

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Abstract

INTRODUCTION: Endometriosis in postmenopausal women is rare, especially in the urinary tract. Only a few cases have been described. CASE REPORT: A postmenopausal woman presented with left-sided ureteric obstruction. Intraoperatively an extrinsic endometriosis was found. In contrast to other cases, the patient had no history of endometriosis or estrogen therapy. CONCLUSION: This rare disease should also be considered in female patients in non-reproductive age with symptoms of unclear hydronephrosis.
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Subscribe to RSS DOI: 10.1055/s-2005-870933 Distale Stenose des Ureters durch extrinsische Endometriose bei einer postmenopausalen Frau Distal Stenosis of the Ureter due to Extrinsic Endometriosis in a Postmenopausal WomanPublication History Publication Date: 20 April 2006 (online) Zusammenfassung Einleitung: Endometriose im postmenopausalen Alter ist selten, nur Einzelfälle einer ureteralen Endometriose sind in der Literatur beschrieben. Kasuistik: Eine postmenopausale Frau stellte sich mit linksseitiger Hydronephrose vor, intraoperativ fand sich eine extrinsische Endometriose. Im Gegensatz zu anderen Fallberichten war bei dieser Frau anamnestisch keine Endometriose bekannt und sie hatte keine Östrogentherapie erhalten. Schlussfolgerung: Auch bei postmenopausalen Frauen muss bei unklarer Hydronephrose/Ureterobstruktion eine Endometriose als Differentialdiagnose in Betracht gezogen werden. Abstract Introduction: Endometriosis in postmenopausal women is rare, especially in the urinary tract. Only a few cases have been described. Case Report: A postmenopausal woman presented with left-sided ureteric obstruction. Intraoperatively an extrinsic endometriosis was found. In contrast to other cases, the patient had no history of endometriosis or estrogen therapy. Conclusion: This rare disease should also be considered in female patients in non-reproductive age with symptoms of unclear hydronephrosis. Schlüsselwörter Endometriose - Ureter - postmenopausal Key words Endometriosis - ureter - postmenopausal Literatur - 1 Ray J, Conger M, Ireland K. Ureteral obstruction in postmenopausal woman with endometriosis. Urology. 1985; 26 (6) 577-578 - 2 Slutzky J N, Callahan D. Endometriosis of the ureter can as renal failure present: A case report and review of endometriosis affecting the of ureter. J Urol. 1983; 130 336-337 Maike Beuke Urologisches Zentrum Hamburg · Allgemeines Krankenhaus Hamburg-Harburg Eißendorfer Pferdeweg 52 21075 Hamburg Germany Phone: 0049-(0)40-7921-2555 Fax: 0049-(0)40-7921-3425 Email: [email protected]

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ureteral Diseases Ureteral Obstruction Cystostomy Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Middle Aged Ureteral Diseases Ureteral Diseases Ureteral Diseases Ureteral Obstruction Ureteral Obstruction Ureteral Obstruction Ureterostomy

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