A case of severe hydronephrosis due to ureteral stricture from endometriosis.

Chung, Min Ji; Koo, Tae Bon; Lee, Taek Hoo; Chun, Sang Sik; Lee, Yoon Soon

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(3):555-559.
Published online March 1, 2007.

A case of severe hydronephrosis due to ureteral stricture from endometriosis.

Min Ji Chung, Tae Bon Koo, Taek Hoo Lee, Sang Sik Chun, Yoon Soon Lee

Department of Obstetrics and Gynecology, Collage of Medicine, Kyungpook National University, Deagu, Korea. yslee@knu.ac.kr

Abstract

Endometriosis is a relatively common disease, affecting 5-10% of women of reproductive age. But, endometriosis affecting the urinary tract is very rare entity. Involvement of urinary tract by endometriosis occurs in about 1% of women with pelvic endometriosis. Ureteral endometriosis is mostly asymptomatic for a long time, and associated with nonspecific symptoms at clinical presentation and difficult preoperative diagnosis. The involvement of the ureter is rarely intrinsic by implantation of endometrial tissue in the wall of the ureter, but rather due to external compression by adjacent endometriosis and its attendant inflammation and fibrosis. We have experienced a case of right severe hydroureteronephrosis due to ureteral stricture from endometriosis. Laparoscopic nephrectomy was done due to renal atrophy. At the same time, laparoscopic total hysterectomy with right salpingo-oophorectomy was performed because of the uterine adenomyosis and right ovarian endometrioma. So, we report that with a brief review of literatures.

Key Words: Ureteral endometriosis, Hydronephrosis, Laparoscopic management