Hydronephrosis due to ureteral endometriosis treated by transperitoneal laparoscopic ureterolysis

Yuichi Watanabe, Hideo Ozawa, Katsutoshi Uematsu, Kensuke Kawasaki, Hideyuki Nishi, Yuji Kobashi
International journal of urology : official journal of the Japanese Urological Association · 2004 · vol. 11(7) , pp. 560–562 · doi:10.1111/j.1442-2042.2004.00828.x · PMID:15242370 · W1965845909
article OA: closed CC0 ⤵ 15 in-corpus citations
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This case report describes a 43-year-old woman treated with transperitoneal laparoscopic ureterolysis for left hydronephrosis caused by ureteral endometriosis confirmed by histological examination.

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Abstract

Ureteral obstruction secondary to endometriosis is relatively uncommon. We present a 43-year-old multiparous woman who suffered from periodic left loin pain in the terminal period of her menstruation. Excretory urogram demonstrated left hydronephrosis and hydroureter and obstruction of the lower left ureter just inferior to the left sacroiliac joint without urolithiasis. An enhanced computed tomography scan showed soft tissue density mass around the left ureter at the level of the stenosis. She underwent transperitoneal laparoscopic ureterolysis and adhesiotomy of the left ureter under the diagnosis of ureteral endometriosis. Because blueberry spots were clearly observed on the pelvic brim, the fibrous tissue surrounded the ureter was removed with peritoneal bleeding spots. Histological examination of the surrounding tissue confirmed the ectopic endometriosis. Even though retroperitoneoscopy is frequently used for ureteral lesion, transperitoneal laparoscopy has an advantage for resection of ectopic endometriosis surrounding the ureter.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Hydronephrosis Laparoscopy Ureteral Diseases Ureteral Obstruction Adult Endometriosis Endometriosis Female Humans Hydronephrosis Hydronephrosis Ureteral Diseases Ureteral Diseases Ureteral Obstruction Ureteral Obstruction

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (6)

Cited by (15)

Source provenance

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