[Obstructive uropathy secondary to recurrent pelvic endometriosis: description of a clinical case].
The typical presentation of endometriosis is pelvic pain. Patients with with endometriosis often have associated fertility disorders even if their relationship with the symptoms and signs of endometriosis is not evident. The first line of treatment for endometriosis must be surgery. In case of infertility the preferred approach is laparoscopic, maybe in association with medical treatment and possibly followed up by a second-look. In cases with relevant pelvic pain and involvement of other organs, laparotomy is necessary, particularly when a deep endometriosis is infiltrating the uterosacral ligaments, the rectovaginal septum and the bladder. Medical treatment of endometriosis is based upon the hormone-dependency of the endometriotic lesions inducing a resting status. Adhesions, endometriomas or fibrous sequelae do not respond to medical treatment. We describe a case of recurrent endometriosis treated with radical surgery for relevant lesions and fibrous adhesions of ureters with consequent bilateral hydronephrosis.
Mastroeni
Francesco
F
Unità Operativa di Urologia, Azienda Ospedaliera Papardo, Messina. f.mastroeni@infinito.it
Rotondo
Salvatore
S
Caldarera
Emanuele
E
Spinnato
Luca
L
Aragona
Maurizio
M
Aragona
Carlo
C
D000328:Adult; D003131:Combined Modality Therapy; D004715:Endometriosis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D005260:Female; D005355:Fibrosis; D021501:Flank Pain / Q000209:etiology; D007987:Gonadotropin-Releasing Hormone / Q000031:analogs & derivatives / Q000627:therapeutic use; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D010535:Laparoscopy; D018231:Leiomyomatosis / Q000150:complications / Q000601:surgery; D012008:Recurrence; D014513:Ureter / Q000473:pathology; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014567:Urography; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery
D007987:Gonadotropin-Releasing Hormone
Uropatia ostruttiva secondaria ad endometriosi pelvica recidivante: descrizione di un caso clinico.