Ureteral obstruction due to retroperitoneal endometriosis: a conservative approach including surgery and GnRH analogs.
Ureteral obstruction due to endometriosis is an infrequent condition which can be asymptomatic for a long time. Irreversible loss of renal function may result in cases with delayed diagnosis. Our report concerns a case of unilateral hydronephrosis and hypertension due to retroperitoneal endometriosis occurring in a 24-year-old woman. The management of patients bearing obstructive uropathy caused by endometriosis is discussed. In the present case, a conservative operation followed by medical treatment, including GnRH analogs, was used to preserve reproductive capacity.
Susini
T
T
Department of Obstetrics and Gynecology, University of Florence, Italy.
Massi
D
D
Massi
G B
GB
D000328:Adult; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D003280:Contraceptives, Oral, Synthetic / Q000627:therapeutic use; D017135:Desogestrel / Q000627:therapeutic use; D004715:Endometriosis / Q000150:complications* / Q000188:drug therapy / Q000601:surgery*; D045166:Estradiol Congeners / Q000627:therapeutic use; D004997:Ethinyl Estradiol / Q000627:therapeutic use; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000031:analogs & derivatives*; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D006977:Hypertension, Renal / Q000209:etiology; D016729:Leuprolide / Q000627:therapeutic use; D012187:Retroperitoneal Space / Q000473:pathology*; D014517:Ureteral Obstruction / Q000209:etiology* / Q000601:surgery
D018931:Antineoplastic Agents, Hormonal; D003280:Contraceptives, Oral, Synthetic; D045166:Estradiol Congeners; D007987:Gonadotropin-Releasing Hormone; D004997:Ethinyl Estradiol; D017135:Desogestrel; D016729:Leuprolide