title: Intrinsic ureteric involvement by endometriosis: a case report.
abstract: Endometriosis occasionally involves the urinary tract, and a ureteral obstruction from this order constitutes a rare variant with serious consequences. Intrinsic ureteric involvement by endometriosis is an exceedingly rare event. This case report describes intrinsic ureteric involvement by endometriosis. The case involved 47-year-old woman, gravida 4, para 2, who had a 4-year history of dysmenorrhea and hypermenorrhea. An intravenous pyelogram showed a right hydronephrosis. She underwent a total abdominal hysterectomy and a right ureteroureterostomy. A pathologic examination revealed complete obstruction of the right ureter by intrinsic intramural endometriosis. We conclude that because ureteral endometriosis, especially intrinsic endometriosis, is usually silent and results in a high rate of renal loss before recognition, physicians should have a hightened awareness of this uncommon but serious manifestation of endometriosis.
authors.affiliation: Department of Obstetrics and Gynecology, Mie University School of Medicine, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Takeuchi
authors.forename: H
authors.initials: H
authors.lastname: Minoura
authors.forename: N
authors.initials: N
authors.lastname: Toyoda
authors.forename: T
authors.initials: T
authors.lastname: Ichio
authors.forename: H
authors.initials: H
authors.lastname: Hirano
authors.forename: Y
authors.initials: Y
authors.lastname: Sugiyama
mesh_terms: D004715:Endometriosis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D007044:Hysterectomy; D008875:Middle Aged; D010053:Ovary / Q000473:pathology; D014513:Ureter / Q000473:pathology; D014517:Ureteral Obstruction / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014599:Uterus / Q000473:pathology