Abstract
Endometriosis is defined as the presence of active endometrial tissue outside the uterine cavity affecting 15% of women at reproductive age. Ureteral endometriosis (UE) is a rare type of endometrial involvement affecting 0.1% - 1% of women with endometriosis. UE is quite uncommon and underdiagnosed because of the patients’ nonspecific symptoms of endometriosis. However, it is important to diagnose and manage UE treatment since it can lead to renal failure due to silent obstruction of the ureter. This case report describes a woman who presented with cyclic pelvic pain and left flank pain. Imaging studies and laparoscopic findings revealed bilateral endometrioma and deepinfiltrating endometriosis (DIE) findings resulting in extrinsic infiltration of the ureter and hydronephrosis.Keywords: Endometriosis, Ureter, Hydronephrosis, Magnetic resonance imaging, Laparoscopy
References
- Nezhat C, Nezhat F, Nezhat CH, Nasserbakht F, Rosati M, Seidman DS. Urinary tract endometriosis treated by laparoscopy. Fertil Steril 1996; 66:920-4.
- Mu D, Li X, Zhou G, Guo H. Diagnosis and treatment of ureteral endometriosis: study of 23 cases. Urol J 2014; 11:1806-12.
- Pérez-Utrilla Pérez M, Aguilera Bazán A, Alonso Dorrego JM, et al. Urinary tract endometriosis: clinical, diagnostic, and therapeutic aspects. Urology 2009; 73:47-51.
- Krüger K, Gilly L, Niedobitek-Kreuter G, Mpinou L, Ebert AD. Bladder endometriosis: characterization by magnetic resonance imaging and the value of documenting ureteral involvement. Eur J Obstet Gynecol Reprod Biol 2014;176:39-43.
- Sillou S, Poirée S, Millischer AE, Chapron C, Hélénon O. Urinary endometriosis: MR imaging appearance with surgical and histological correlations. Diagn Interv Imaging 2015; 96:373-81. doi: 10.1016/j.diii.2014.11.010. Epub 2014 Dec 31.
- Yohannes P. Ureteral endometriosis. J Urol 2003; 170: 20-5.
- Cimsit C, Yoldemir T, Guclu M, Akpinar IN. Susceptibility weighted
- magnetic resonance imaging for the evaluation of deep infiltrating endometriosis: preliminary results. Acta Radiol. 2015. pii: 0284185115602147. [Epub ahead of print]
- Lusuardi L, Hager M, Sieberer M, et al. Laparoscopic treatment of intrinsic endometriosis of the urinary tract and proposal of a treatment scheme forureteral endometriosis. Urology 2012; 80:1033-8.
- Hsieh MF, Wu IW, Tsai CJ, Huang SS, Chang LC, Wu MS. Ureteral endometriosis with obstructive uropathy. Intern Med 2010; 49:573-6.
- Rozsnyai F, Roman H, Resch B, et al. Outcomes of surgical management of deep infiltrating endometriosis of the ureter and urinary bladder. JSLS 2011; 15:439-47.
Abstract
Endometriosis is defined as the presence of active endometrial tissue outside the uterine cavity affecting 15% of women at reproductive age. Ureteral endometriosis (UE) is a rare type of endometrial involvement affecting 0.1% - 1% of women with endometriosis. UE is quite uncommon and underdiagnosed because of the patients’ nonspecific symptoms of endometriosis. However, it is important to diagnose and manage UE treatment since it can lead to renal failure due to silent obstruction of the ureter. This case report describes a woman who presented with cyclic pelvic pain and left flank pain. Imaging studies and laparoscopic findings revealed bilateral endometrioma and deepinfiltrating endometriosis (DIE) findings resulting in extrinsic infiltration of the ureter and hydronephrosis.Keywords: Endometriosis, Ureter, Hydronephrosis, Magnetic resonance imaging, Laparoscopy
References
- Nezhat C, Nezhat F, Nezhat CH, Nasserbakht F, Rosati M, Seidman DS. Urinary tract endometriosis treated by laparoscopy. Fertil Steril 1996; 66:920-4.
- Mu D, Li X, Zhou G, Guo H. Diagnosis and treatment of ureteral endometriosis: study of 23 cases. Urol J 2014; 11:1806-12.
- Pérez-Utrilla Pérez M, Aguilera Bazán A, Alonso Dorrego JM, et al. Urinary tract endometriosis: clinical, diagnostic, and therapeutic aspects. Urology 2009; 73:47-51.
- Krüger K, Gilly L, Niedobitek-Kreuter G, Mpinou L, Ebert AD. Bladder endometriosis: characterization by magnetic resonance imaging and the value of documenting ureteral involvement. Eur J Obstet Gynecol Reprod Biol 2014;176:39-43.
- Sillou S, Poirée S, Millischer AE, Chapron C, Hélénon O. Urinary endometriosis: MR imaging appearance with surgical and histological correlations. Diagn Interv Imaging 2015; 96:373-81. doi: 10.1016/j.diii.2014.11.010. Epub 2014 Dec 31.
- Yohannes P. Ureteral endometriosis. J Urol 2003; 170: 20-5.
- Cimsit C, Yoldemir T, Guclu M, Akpinar IN. Susceptibility weighted
- magnetic resonance imaging for the evaluation of deep infiltrating endometriosis: preliminary results. Acta Radiol. 2015. pii: 0284185115602147. [Epub ahead of print]
- Lusuardi L, Hager M, Sieberer M, et al. Laparoscopic treatment of intrinsic endometriosis of the urinary tract and proposal of a treatment scheme forureteral endometriosis. Urology 2012; 80:1033-8.
- Hsieh MF, Wu IW, Tsai CJ, Huang SS, Chang LC, Wu MS. Ureteral endometriosis with obstructive uropathy. Intern Med 2010; 49:573-6.
- Rozsnyai F, Roman H, Resch B, et al. Outcomes of surgical management of deep infiltrating endometriosis of the ureter and urinary bladder. JSLS 2011; 15:439-47.
Details
| Subjects | Clinical Sciences |
|---|---|
| Other ID | JA98TU66TU |
| Journal Section | Review Makaleler |
| Authors | |
| Publication Date | April 1, 2016 |
| Published in Issue | Year 2016 Volume: 29 Issue: 2 |