Ureteral endometriosis
Authors:
Lukáš Wagenknecht 1; Jan Jandejsek 1
Authors‘ workplace:
Urologické oddělení Oblastní nemocnice Kolín, a. s.
1
Published in:
Ces Urol 2013; 17(4): 278-281
Category:
Case report
Overview
This case report describes a rare instance of a patient presenting with asymptomatic incidentally detected hydronephrosis of the left kidney, with reduction of the parenchyma to 5 mm. Based on paraclinical examinations, a preliminary diagnosis of a ureteral tumor of unknown etiology was made. The dynamic renal scintigraphy verified kidney malfunctioning and the patient was indicated for left side nephrorureterectomy. Biopsy of the ureter yielded a surprising conclusion: extrinsic endometriosis of the distal ureter, non-infected kidney with tubulointerstitial nephritis and hydronephrosis.
Key words:
asymptomatic hydronephrosis, ureteral endometriosis, nephroureterectomy.
Sources
1. Stepniewska A, Grosso G, Molon A, et al. Ureteral endometriosis – Clinical and Radiological Follow-up After Laparoscopic Ureterocystoneostomy. Hum Reprod 2011; 26(1): 112–116.
2. Wein J, et al. Anomalies of the upper urinary tract. Campbell-Walsh Urology, volume 4, 9. edition. Phladelphia: Saunders Elsevier 2007; 3287–3290, 3334–3339.
3. Spaczynski R, Duleba A. Diagnosis of Endometriosis. Semin Reprod Med 2003; 21(2): 193–208.
4. Kawaciuk I. Anomálie pánvičky a močovodu. Urologie, 1. vyd. Praha: Galén 2009; 109.
5. Ponticelli C, Graziani G, Montanari E. Ureteral endometriosis: a rare and underdiagnosed cause of kidney dysfunction. Nephron Clin Pract 2010; 114(2): 89–93.
Labels
Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
2013 Issue 4
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