Ureteral endometriosis in a female patient presenting with single-kidney anuria.
Endometriosis affecting the urinary tract is very rare. We report on a female patient with a single kidney who presented with anuria due to ureteral endometriosis. Initially a limited ureterectomy with an end-to-end anastomosis was performed. After removing the stent, endometriosis recurred. On reexploration, the terminal ureter was removed and the sound end reimplanted into the urinary bladder. A salpingo-oophorectomy was performed, and danazol 400 mg twice daily was started, with very satisfactory results. Endometriosis on a single acquired ureter causing anuria has, to our knowledge, not been reported previously. The modality of treatment is local excision, oophorectomy, and danazol.
Department of Urology, Amalia Fleming Hospital, Athens, Greece.
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Kyriakidis
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Pappas
D000328:Adult; D001002:Anuria / Q000209:etiology*; D004715:Endometriosis / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D010052:Ovariectomy; D014513:Ureter / Q000601:surgery; D014515:Ureteral Diseases / Q000150:complications* / Q000601:surgery