OBSTRUCTIVE UROPATHY SECONDARY TO VESICO-URETERAL ENDOMETRIOSIS: CLINICAL, RADIOLOGIC AND PATHOLOGIC FEATURES. Archivos espanoles de urologia [Arch Esp Urol] Journal article | | Title | OBSTRUCTIVE UROPATHY SECONDARY TO VESICO-URETERAL ENDOMETRIOSIS: CLINICAL, RADIOLOGIC AND PATHOLOGIC FEATURES. | | Author(s) | Calvo Pulido J | | Institution | Radiology, Urology and Pathologic Anatomy. Hospital Clínico of Málaga. Spain. | | Source | Arch Esp Urol 2009 Oct; 62(8):653-656. | | Abstract | OBJECTIVES: To report the case of a 37 year-old woman suffering from endometriosis of the urinary tract, that presented with lumbar and pelvic pain associated to cyclic recurrent haematuria.
METHODS: Following history, physical examination, abdomino-pelvic ultrasound (USS), CT scan and cystoscopy with biopsies, surgical treatment was indicated
RESULTS: Imaging (USS-CT ) revealed a protrusion of the left bladder hemitrigone with a nodular, irregular thickening and ipsilateral grade II-III/IV uretero-hydronefrosis. Cistoscopy confirmed a swollen and oedematous lesion in left hemitrigone that seemed extrinsic in origin. With the clinical diagnosis of a possible neoplasia of gynaecological origin, the patient underwent surgical treatment consisting in radical hysterectomy with bilateral oophorectomy, partial cystectomy and left ureteroneocystostomy.
CONCLUSIONS: The frequency of endometriosis in the urinary tract is relatively low and therefore, endometriosis presenting with ureteral obstruction (uretero-hydronephrosis) has been rarely reported in the literature and should be part of the differential diagnosis in young women, especially if symptoms are cyclic. The treatment is surgery and the final diagnosis by pathology report. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19893139 |
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