Open AccessEndoscopic Management of A Ureteral Obstruction Caused by Endometriosis: A Case Report
Author(s) -
Juan HsuCheng,
Yeh HsinChih,
Hsiao HsiLin,
Yang SheanFang,
Wu WenJeng
Publication year - 2009
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70064-6
Subject(s) - medicine , hydronephrosis , ureteroscopy , endometriosis , surgery , ureter , outpatient clinic , abdominal hysterectomy , hysterectomy , gynecology , urinary system , endocrinology
Ureteral obstruction secondary to endometriosis is relatively uncommon. We present a 49‐year‐old female (gravida 3, para 2, abortion 1), who was identified as suffering from right hydronephrosis while undergoing her regular health examination. Retrograde pyelography demonstrated a partial obstruction of the right ureter in the distal third. She underwent ureteroscopy and biopsy to remove a right ureteral tumor. Histological examination confirmed ureteral endometriosis. During follow‐up at the obstetrics and gynecology outpatient department, an abdominal echo was detected that revealed a right endometrioma (size, 7.5 × 4.8 × 5.5 cm) on the ovary. As a result, a total hysterectomy and bilateral salpingo‐oophorectomy was performed. Although the patient had right residual hydronephrosis, the creatinine level improved to 1.2 mg/dL during follow‐up.