Korean J Obstet Gynecol.  2007 Mar;50(3):555-559.

A case of severe hydronephrosis due to ureteral stricture from endometriosis

• Chung MJ
• Koo TB
• Lee TH
• Chun SS
• Lee YS

Abstract

Endometriosis is a relatively common disease, affecting 5-10% of women of reproductive age. But, endometriosis affecting the urinary tract is very rare entity. Involvement of urinary tract by endometriosis occurs in about 1% of women with pelvic endometriosis. Ureteral endometriosis is mostly asymptomatic for a long time, and associated with nonspecific symptoms at clinical presentation and difficult preoperative diagnosis. The involvement of the ureter is rarely intrinsic by implantation of endometrial tissue in the wall of the ureter, but rather due to external compression by adjacent endometriosis and its attendant inflammation and fibrosis. We have experienced a case of right severe hydroureteronephrosis due to ureteral stricture from endometriosis. Laparoscopic nephrectomy was done due to renal atrophy. At the same time, laparoscopic total hysterectomy with right salpingo-oophorectomy was performed because of the uterine adenomyosis and right ovarian endometrioma. So, we report that with a brief review of literatures.

Keyword

Ureteral endometriosis; Hydronephrosis; Laparoscopic management

MeSH Terms

Adenomyosis
Atrophy
Constriction, Pathologic*
Diagnosis
Endometriosis*
Female
Fibrosis
Humans
Hydronephrosis*
Hysterectomy
Inflammation
Nephrectomy
Ureter*
Urinary Tract