Endoscopic management of a ureteral obstruction caused by endometriosis: a case report.
Ureteral obstruction secondary to endometriosis is relatively uncommon. We present a 49-year-old female (gravida 3, para 2, abortion 1), who was identified as suffering from right hydronephrosis while undergoing her regular health examination. Retrograde pyelography demonstrated a partial obstruction of the right ureter in the distal third. She underwent ureteroscopy and biopsy to remove a right ureteral tumor. Histological examination confirmed ureteral endometriosis. During follow-up at the obstetrics and gynecology outpatient department, an abdominal echo was detected that revealed a right endometrioma (size, 7.5 x 4.8 x 5.5 cm) on the ovary. As a result, a total hysterectomy and bilateral salpingo-oophorectomy was performed. Although the patient had right residual hydronephrosis, the creatinine level improved to 1.2 mg/dL during follow-up.
Juan
Hsu-Cheng
HC
Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Yeh
Hsin-Chih
HC
Hsiao
Hsi-Lin
HL
Yang
Shean-Fang
SF
Wu
Wen-Jeng
WJ
D004715:Endometriosis / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010053:Ovary / Q000601:surgery; D014513:Ureter / Q000601:surgery; D014517:Ureteral Obstruction / Q000209:etiology* / Q000601:surgery; D018666:Ureteroscopy