Korean J Obstet Gynecol.  2010 Jan;53(1):83-89. 10.5468/kjog.2010.53.1.83.

Three cases of endometriosis of the urinary tract

• Lee SH
• Kim SR
• Jeon GH
• Kim SH
• Chae HD
• Kim CH
• Kang BM

• KMID: 2077966
• DOI: http://doi.org/10.5468/kjog.2010.53.1.83

Abstract

Endometriosis is a long term, disabling condition and a relatively common disease, affecting 5~15% of the adult female population. Endometriosis of the urinary tract, which occurs mostly bladder or ureter, is rare and accounts for 1 or 2% of cases. However, they may cause hydronephrosis and other serious complications on the involved site. We experienced one case of vesical endometriosis and two cases of ureteral endometriosis, and report these cases with a brief review of the concerned literatures.

Keyword

Endometriosis; Urinary tract; Hydronephrosis

MeSH Terms

Adult
Endometriosis
Female
Humans
Hydronephrosis
Ureter
Urinary Bladder
Urinary Tract

Figure

• 

  Figure 1 The computer tomography shows collapsed distal ureter below uterine cervical portion without any obstructive cause.

• 

  Figure 2 Transvaginal sonography reveals an 2.4×1.7 cm sized polypoid homogenous mass on posterolateral wall of bladder.

• 

  Figure 3 Cystoscopic view shows a 3~4 cm sized broad-based papillary solid tumor on trigone of posterior bladder wall.

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  Figure 4 The computer tomographic urography shows ureteral tumor suspected as a transitional cell carcinoma at left distal ureter to ureterovesical junction and left hydronephroureterosis.

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  Figure 5 The gross finding of ureter shows the invasion of endometritic tissue into periureteral tissue.

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