Korean J Urol.  2007 Nov;48(11):1179-1181. 10.4111/kju.2007.48.11.1179.

Ureteral Endometriosis

Affiliations
  • 1Department of Urology, College of Medicine, Soonchunhyang University, Bucheon, Korea. urojun@schbc.ac.kr

Abstract

Endometriosis is defined as the presence of functional endometrial tissue in an ectopic site. The incidence of endometriosis is from 10% to 20% for women of reproductive age. From 1% to 2% of woman with endometriosis have urinary tract lesions, of which from 70% to 80% involve the bladder. Yet ureteral endometriosis is very uncommon, and it is noted in only 0.1% to 0.4% of these cases. We report here on one case of ureteral endometriosis.

Keyword

Endometriosis; Ureteral obstruction

MeSH Terms

Endometriosis*
Female
Humans
Incidence
Ureter*
Ureteral Obstruction
Urinary Bladder
Urinary Tract

Figure

  • Fig. 1 Retrograde pyelography shows abrupt luminal narrowing at the mid-ureter with right hydroureteronephrosis, suggesting ureteral stricture rather than external lesion.

  • Fig. 2 (A) The slide shows ureteral wall thickening and endometriosis on the ureteral wall (H&E, ×100). (B) The slide shows well developed endometrial glands and stroma (H&E, ×400).

  • Fig. 3 Postoperative intravenous pyelography after 1 month shows no hydronephrosis or ureteral obstruction.


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