Intrinsic ureteral endometriosis as a cause of unilateral obstructive uropathy

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This case report details a 44-year-old woman diagnosed with ureteral endometriosis after nephroureterectomy for a distal ureteric mass causing obstructive uropathy.

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This case report studied a 44-year-old woman with chronic flank pain and left-sided obstructive uropathy, characterized by distal left ureteric mass and renal dysfunction. After undergoing nephroureterectomy for a presumed ureteral fibroepithelial polyp or transitional cell carcinoma, the final diagnosis was intrinsic ureteral endometriosis. The authors emphasize that ureteral endometriosis can present nonspecifically and may mimic ureteral malignancy, but the major limitation is that findings are based on a single patient case rather than systematic data. This paper is centrally about endometriosis — it describes intrinsic ureteral endometriosis causing unilateral obstructive uropathy and highlights its differential diagnosis relative to ureteral malignancy.

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Abstract

Endometriosis is a common gynecological condition, but involvement of the urinary tract is rare. Ureteral endometriosis can present in a nonspecific fashion, and may mimic ureteral malignancy. This case report describes a 44-year-old woman who initially presented with chronic flank pain and was found to have left-sided renal dysfunction and a distal left ureteric mass. She was eventually diagnosed with ureteral endometriosis after undergoing nephroureterectomy for what was thought to be either a ureteral fibroepithelial polyp or transitional cell carcinoma. Ureteral endometriosis should be considered in the differential diagnosis for a woman presenting with obstructive uropathy in the presence of a ureteric mass.
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Intrinsic ureteral endometriosis as a cause of unilateral obstructive uropathy DOI: https://doi.org/10.5489/cuaj.3191Abstract Endometriosis is a common gynecological condition, but involvement of the urinary tract is rare. Ureteral endometriosis can present in a nonspecific fashion, and may mimic ureteral malignancy. This case report describes a 44-year-old woman who initially presented with chronic flank pain and was found to have left-sided renal dysfunction and a distal left ureteric mass. She was eventually diagnosed with ureteral endometriosis after undergoing nephroureterectomy for what was thought to be either a ureteral fibroepithelial polyp or transitional cell carcinoma. Ureteral endometriosis should be considered in the differential diagnosis for a woman presenting with obstructive uropathy in the presence of a ureteric mass. Downloads Downloads Published How to Cite Issue Section License You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association. This means that you may not, without the prior written permission of the CUA: - Post the Article on any Web site - Translate or authorize a translation of the Article - Copy or otherwise reproduce the Article, in any format, beyond what is permitted under Canadian copyright law, or authorize others to do so - Copy or otherwise reproduce portions of the Article, including tables and figures, beyond what is permitted under Canadian copyright law, or authorize others to do so. The CUA encourages use for non-commercial educational purposes and will not unreasonably deny any such permission request. You retain your moral rights in and to the Article. This means that the CUA may not assert its copyright in such a way that would negatively reflect on your reputation or your right to be associated with the Article. The CUA also requires you to warrant the following: - That you are the Author(s) and sole owner(s), that the Article is original and unpublished and that you have not previously assigned copyright or granted a licence to any other third party; - That all individuals who have made a substantive contribution to the article are acknowledged; - That the Article does not infringe any proprietary right of any third party and that you have received the permissions necessary to include the work of others in the Article; and - That the Article does not libel or violate the privacy rights of any third party.

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endometriosis

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