Endoscopic Management of A Ureteral Obstruction Caused by Endometriosis: A Case Report

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 obstructio...

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Main Authors: Hsu-Cheng Juan, Hsin-Chih Yeh, Hsi-Lin Hsiao, Shean-Fang Yang, Wen-Jeng Wu
Format: Article
Language:English
Published: Wiley 2009-04-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1607551X09700646
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author Hsu-Cheng Juan
Hsin-Chih Yeh
Hsi-Lin Hsiao
Shean-Fang Yang
Wen-Jeng Wu
author_facet Hsu-Cheng Juan
Hsin-Chih Yeh
Hsi-Lin Hsiao
Shean-Fang Yang
Wen-Jeng Wu
author_sort Hsu-Cheng Juan
collection DOAJ
description 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.
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spelling doaj.art-75cacb60ad0948f2a9328612b9f34e682022-12-22T01:03:50ZengWileyKaohsiung Journal of Medical Sciences1607-551X2009-04-0125421722110.1016/S1607-551X(09)70064-6Endoscopic Management of A Ureteral Obstruction Caused by Endometriosis: A Case ReportHsu-Cheng Juan0Hsin-Chih Yeh1Hsi-Lin Hsiao2Shean-Fang Yang3Wen-Jeng Wu4Department of Urology, Kaohsiung Medical University;, Kaohsiung, TaiwanDepartment of Urology, Kaohsiung Medical University;, Kaohsiung, TaiwanDepartment of Urology, Kaohsiung Medical University;, Kaohsiung, TaiwanDepartment of Pathology, Kaohsiung Medical University Hospital, Kaohsiung Medical University;, Kaohsiung, TaiwanDepartment of Urology, Kaohsiung Medical University;, Kaohsiung, TaiwanUreteral 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.http://www.sciencedirect.com/science/article/pii/S1607551X09700646endometriosishydronephrosisureterureteroscopy
spellingShingle Hsu-Cheng Juan
Hsin-Chih Yeh
Hsi-Lin Hsiao
Shean-Fang Yang
Wen-Jeng Wu
Endoscopic Management of A Ureteral Obstruction Caused by Endometriosis: A Case Report
Kaohsiung Journal of Medical Sciences
endometriosis
hydronephrosis
ureter
ureteroscopy
title Endoscopic Management of A Ureteral Obstruction Caused by Endometriosis: A Case Report
title_full Endoscopic Management of A Ureteral Obstruction Caused by Endometriosis: A Case Report
title_fullStr Endoscopic Management of A Ureteral Obstruction Caused by Endometriosis: A Case Report
title_full_unstemmed Endoscopic Management of A Ureteral Obstruction Caused by Endometriosis: A Case Report
title_short Endoscopic Management of A Ureteral Obstruction Caused by Endometriosis: A Case Report
title_sort endoscopic management of a ureteral obstruction caused by endometriosis a case report
topic endometriosis
hydronephrosis
ureter
ureteroscopy
url http://www.sciencedirect.com/science/article/pii/S1607551X09700646
work_keys_str_mv AT hsuchengjuan endoscopicmanagementofaureteralobstructioncausedbyendometriosisacasereport
AT hsinchihyeh endoscopicmanagementofaureteralobstructioncausedbyendometriosisacasereport
AT hsilinhsiao endoscopicmanagementofaureteralobstructioncausedbyendometriosisacasereport
AT sheanfangyang endoscopicmanagementofaureteralobstructioncausedbyendometriosisacasereport
AT wenjengwu endoscopicmanagementofaureteralobstructioncausedbyendometriosisacasereport