Endoscopic management of a ureteral obstruction caused by endometriosis: A case report

Hsu Cheng Juan, Hsin Chih Yeh, Hsi Lin Hsiao, Shean Fang Yang, Wen Jeng Wu

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

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, 7.5x4.8x5.5 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.

Original languageEnglish (US)
Pages (from-to)217-221
Number of pages5
JournalKaohsiung Journal of Medical Sciences
Volume25
Issue number4
DOIs
StatePublished - Apr 2009
Externally publishedYes

Keywords

  • Endometriosis
  • Hydronephrosis
  • Ureter
  • Ureteroscopy

ASJC Scopus subject areas

  • Medicine(all)

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