Ureteral endometriosis following panhysterectomy a case report
Keywords:Endometriosis, Ureter, Post menopausal.
AbstractUreteral endometriosis is a rare form of endometriotic lesion. It can be intrinsic or extrinsic, intrinsic being more rare than extrinsic. Extrinsic ureteral involvement can lead to silent damage to the kidneys. It is commonly seen in women with rectovaginal endometriosis. They present with a variety of symptoms from flank pain to hematuria. Though it responds to medical management, it will require definitive surgical intervention such as a simple cyst excision to the extent of ureteric resection and reanastamosis.
Maccagnano C, Pellucchi F, Rocchini L, Ghezzi M, Scattoni V, Montorsi F, Rigatti P, Colombo R. Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature Urol Int. 2013;91:1–9.
Donnez J, Nisolle M, Squifflet J. Ureteral endometriosis: a complication of rectovaginal endometriotic (adenomyotic) nodules. Fertil Steril. 2002;77(1):32-7.
Punnonen R, Klemi PJ, Nikkanen V. Postmenopausal endometriosis. Eur J Obstet Gynecol Reprod Biol. 1980;11(3):195-200.
Oxholm D, Knudsen UB, Kryger-Baggesen N, Ravn P: Postmenopausal endometriosis. Acta Obstet Gynecol Scand 2007,86:1158-64.
Koninckx PR, Ussia A, Adamyan L, Wattiez A, Donnez J. Deep endometriosis: definition, diagnosis, and treatment. Fertil Steril. 2012;98(3):564-71.
Al-Khawaja M, Tan PH, MacLennan GT, Lopez-Beltran A, Montironi R, Cheng L. Ureteral endometriosis: clinicopathological and immunohistochemical study of 7 cases. Hum Pathol. 2008;39(6):954-9.
Dawei Mu, Xuesong Li, Zhou G, Guo H. Diagnosis and Treatment of Ureteral Endometriosis: Study Of 23 Cases Urology Journal. 2014;1806-12.
Paula J. Woodward, Sohaey R, Mezzetti TP. LCDR, USNR, MC Endometriosis: Radiologic-Pathologic Correlation From the Archives of the AFIP
Ureteral endometriosis treated by hormonal therapy: a case report Mikami J, Yamamoto H, Okamoto A, Ishimura H, Imai A, Hatakeyama S, Yoneyama T, Hashimoto Y, Koie T, Ohyama C. Hinyokika Kiyo. 2013 ;59(7):431-4.
Frick AC, Barakat EE, Stein RJ, Mora M, and Falcone T. Robotic-Assisted Laparoscopic Management of Ureteral Endometriosis JSLS. 2011; 15(3):396–9.
Guan X, Nguyen MT, Walsh TM, Kelly B. Robotic Single Site Endometriosis Resection Using Firefly Technology J Minim Invasive Gynecol. 2015;553-4650(15)00608-1.