Severe Ureteral Endometriosis Complicated with Hydronephrosis: A Case Report

被引:3
|
作者
Bai, Ying [1 ]
Li, Yaqin [1 ]
Li, Qi [1 ]
Zhao, Weihong [1 ]
机构
[1] Shanxi Med Univ, Dept Obstet & Gynecol, Hosp 2, Taiyuan, Shanxi, Peoples R China
来源
AMERICAN JOURNAL OF CASE REPORTS | 2022年 / 23卷
关键词
Diagnosis; Endometriosis; Hydronephrosis; LAPAROSCOPIC MANAGEMENT;
D O I
10.12659/AJCR.937172
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: Unusual clinical courseBackground: Endometriosis is a disease characterized by endometrial tissue appearing outside the uterus, mainly involving the peritoneum and pelvic organs. Ureteral endometriosis (UE) is rare, typified by deep infiltrating endometri-osis involving the ureter and can result in ureteral obstruction, proximal hydroureter, hydronephrosis, and im-pairment of renal function. Symptoms may be insidious and nonspecific and may lead to a prolonged disease course. We describe a patient with UE complicated by hydronephrosis.Case Report: A 42-year-old woman was admitted to the Urology Department with the incidental discovery of right hydrone-phrosis. After a thorough examination, she underwent right ureteral mass resection and right ureteral stump anastomosis. The pathology report indicated endometriosis. The patient was given 6 doses of gonadotropin-releasing hormone agonist immediately after surgery, followed by an intrauterine levonorgestrel-releasing sys-tem. Postoperative follow-up showed that no recurrence was observed in this year. Here, we briefly summa-rize the epidemiology, pathogenesis, clinical presentation, imaging, treatment, and prognosis of the disease.Conclusions: UE should be listed as one of the differential diagnoses of unexplained hydronephrosis in women of childbear-ing age, and those with dysmenorrhea should be cognizant of this disease. Active surgical treatment and long-term management should be carried out to obtain better prognosis.
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页数:7
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