Ureteral endometriosis following panhysterectomy a case report

Sendhil Coumary Arumugam, Kavitha Senthil, Hemalatha Pugalendhi
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2015 · pp. 2077–2080 · doi:10.18203/2320-1770.ijrcog20151322 · W2254270268
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This case report describes ureteral endometriosis, a rare condition where endometriosis affects the ureter, potentially causing silent kidney damage and requiring surgical intervention.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This case report describes ureteral endometriosis occurring after panhysterectomy, a rare form of endometriotic lesion that may be intrinsic or extrinsic, with extrinsic disease capable of silently damaging the kidneys. The authors discuss that ureteral endometriosis often presents in women with rectovaginal disease and can manifest with flank pain and hematuria, noting that while it may respond to medical management, definitive surgical intervention may involve ureteric excision and reanastomosis. A key limitation is that the paper is a single case report, so findings cannot establish incidence, risk, or generalizable outcomes. Relevance to endometriosis: This paper is centrally about endometriosis — it reports ureteral endometriosis following panhysterectomy and situates it within the broader endometriosis/rectovaginal involvement spectrum.

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Abstract

Ureteral endometriosis is a rare form of endometriotic lesion. It can be intrinsic or extrinsic, intrinsic being more rare than extrinsic. Extrinsic ureteral involvement can lead to silent damage to the kidneys. It is commonly seen in women with rectovaginal endometriosis. They present with a variety of symptoms from flank pain to hematuria. Though it responds to medical management, it will require definitive surgical intervention such as a simple cyst excision to the extent of ureteric resection and reanastamosis.
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Ureteral endometriosis following panhysterectomy a case report DOI: https://doi.org/10.18203/2320-1770.ijrcog20151322Keywords: Endometriosis, Ureter, Post menopausal.Abstract Ureteral endometriosis is a rare form of endometriotic lesion. It can be intrinsic or extrinsic, intrinsic being more rare than extrinsic. Extrinsic ureteral involvement can lead to silent damage to the kidneys. It is commonly seen in women with rectovaginal endometriosis. They present with a variety of symptoms from flank pain to hematuria. Though it responds to medical management, it will require definitive surgical intervention such as a simple cyst excision to the extent of ureteric resection and reanastamosis.Metrics References Maccagnano C, Pellucchi F, Rocchini L, Ghezzi M, Scattoni V, Montorsi F, Rigatti P, Colombo R. Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature Urol Int. 2013;91:1–9. Donnez J, Nisolle M, Squifflet J. Ureteral endometriosis: a complication of rectovaginal endometriotic (adenomyotic) nodules. Fertil Steril. 2002;77(1):32-7. Punnonen R, Klemi PJ, Nikkanen V. Postmenopausal endometriosis. Eur J Obstet Gynecol Reprod Biol. 1980;11(3):195-200. Oxholm D, Knudsen UB, Kryger-Baggesen N, Ravn P: Postmenopausal endometriosis. Acta Obstet Gynecol Scand 2007,86:1158-64. Koninckx PR, Ussia A, Adamyan L, Wattiez A, Donnez J. Deep endometriosis: definition, diagnosis, and treatment. Fertil Steril. 2012;98(3):564-71. Al-Khawaja M, Tan PH, MacLennan GT, Lopez-Beltran A, Montironi R, Cheng L. Ureteral endometriosis: clinicopathological and immunohistochemical study of 7 cases. Hum Pathol. 2008;39(6):954-9. Dawei Mu, Xuesong Li, Zhou G, Guo H. Diagnosis and Treatment of Ureteral Endometriosis: Study Of 23 Cases Urology Journal. 2014;1806-12. Paula J. Woodward, Sohaey R, Mezzetti TP. LCDR, USNR, MC Endometriosis: Radiologic-Pathologic Correlation From the Archives of the AFIP Ureteral endometriosis treated by hormonal therapy: a case report Mikami J, Yamamoto H, Okamoto A, Ishimura H, Imai A, Hatakeyama S, Yoneyama T, Hashimoto Y, Koie T, Ohyama C. Hinyokika Kiyo. 2013 ;59(7):431-4. Frick AC, Barakat EE, Stein RJ, Mora M, and Falcone T. Robotic-Assisted Laparoscopic Management of Ureteral Endometriosis JSLS. 2011; 15(3):396–9. Guan X, Nguyen MT, Walsh TM, Kelly B. Robotic Single Site Endometriosis Resection Using Firefly Technology J Minim Invasive Gynecol. 2015;553-4650(15)00608-1.

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