Pelvic endometriosis presenting with urinary symptoms: A case report Üriner semrjtomlarla ortava cikan nelvik endometrivozis: Olgu sunumu
Gulhane Medical Journal, cilt.52, sa.4, ss.290-293, 2010 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 52 Sayı: 4
- Basım Tarihi: 2010
- Dergi Adı: Gulhane Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.290-293
- Anahtar Kelimeler: Endometriosis, Surgical treatment, Urinary obstruction
- Maltepe Üniversitesi Adresli: Evet
Özet
Ureteral obstruction secondary to endometriosis is a relatively rare condition. We present a case of incipient pelvic endometriosis presenting with urinary symptoms. A 27-year-old, nulligravid female patient admitted to our clinic with symptoms suggesting pyelonephritis. Radiological studies did not reveal urolithiasis. However, computerized tomography andmagnetic resonance imaging demonstrated adnexial mass and left ureterohydronephrosis, thus leading to open surgery. During surgical exploration bicornuate uterus, myoma and a periureteralfibrotic mass were excised and end-to-end ureteral anastomosis was performed. Interestingly, the histopathological diagnosis of the periureteral fibrous tissue was endometriosis. Fast recovery was observed in the functions of impaired left kidney during early postoperative follow-up. During their daily practices urologists should be aware of ureteral stricture due to endometriosis especially in premenopausal women with dilated collective system. Kidney protective approaches should be the initial choice while managing ureteral endometriosis in women in childbearing age. © Gülhane Askeri Ti{dotless}p Akademisi 2010.