Hydronephrosis due to ureteral endometriosis treated by transperitoneal laparoscopic ureterolysis

International Journal of Urology : Official Journal of the Japanese Urological Association
Yuichi WatanabeYuji Kobashi

Abstract

Ureteral obstruction secondary to endometriosis is relatively uncommon. We present a 43-year-old multiparous woman who suffered from periodic left loin pain in the terminal period of her menstruation. Excretory urogram demonstrated left hydronephrosis and hydroureter and obstruction of the lower left ureter just inferior to the left sacroiliac joint without urolithiasis. An enhanced computed tomography scan showed soft tissue density mass around the left ureter at the level of the stenosis. She underwent transperitoneal laparoscopic ureterolysis and adhesiotomy of the left ureter under the diagnosis of ureteral endometriosis. Because blueberry spots were clearly observed on the pelvic brim, the fibrous tissue surrounded the ureter was removed with peritoneal bleeding spots. Histological examination of the surrounding tissue confirmed the ectopic endometriosis. Even though retroperitoneoscopy is frequently used for ureteral lesion, transperitoneal laparoscopy has an advantage for resection of ectopic endometriosis surrounding the ureter.

References

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Citations

Aug 2, 2005·Journal of Endourology·C Charles Wen, David S Wang
Feb 22, 2012·Urology Annals·Suresh KumarAnup K Kundu
Oct 12, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Stéfanie A Seixas-MikelusKhurshid A Guru
Jun 9, 2009·The Kaohsiung Journal of Medical Sciences·Hsu-Cheng JuanWen-Jeng Wu
Dec 14, 2017·Journal of Medical Case Reports·Hyun Jung Lee, Yoon Soon Lee
Aug 3, 2006·International Journal of Urology : Official Journal of the Japanese Urological Association·Andreas SchneiderKarl-Werner Schweppe
Sep 1, 2012·Journal of Robotic Surgery·Michael MuschDarko Kroepfl

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