Ureteral endometriosis with obstructive uropathy.
Endometriosis is a common disease, but ureteral involvement is rare. The symptoms and signs of ureteral endometriosis mimic those of ureteral malignancy. This case report describes a woman who presented with chronic back pain for 5 years. Imaging studies showed a right small contracted kidney with hydronephrosis and a bladder tumor. Endometriosis of the right lower ureter was ultimately diagnosed. The patient was healthy without recurrence during follow-up. It is difficult to differentiate between ureteral endometriosis and malignancy; in fact, renal loss may occur before diagnosis. Ureteral endometriosis should be considered for women with ureteral obstruction manifesting as chronic backache.
Department of Nephrology, Chang Gung Memorial Hospital, Keelung, Taiwan.
Ming-Fang
MF
Hsieh
I-Wen
IW
Wu
Chi-Jen
CJ
Tsai
Shian-Shiang
SS
Huang
Liang-Che
LC
Chang
Mai-Szu
MS
Wu
D000328:Adult; D001416:Back Pain / Q000209:etiology; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D014515:Ureteral Diseases / Q000150:complications / Q000175:diagnosis*; D014516:Ureteral Neoplasms / Q000175:diagnosis; D014517:Ureteral Obstruction / Q000150:complications / Q000175:diagnosis*