Ureteric and pulmonary endometriosis

Area of Science:

• Gynecology
• Pulmonology
• Urology

Background:

• Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus.
• Pulmonary and ureter involvement are exceptionally rare manifestations of endometriosis.

Observation:

• A patient presented with pulmonary lesions mimicking metastases and hydronephrosis, suggesting a gynecologic malignancy.
• Laparoscopy revealed severe endometriosis, indicating the pulmonary and ureter findings were likely due to this condition.

Findings:

• This is the first reported case of simultaneous pulmonary and ureter involvement secondary to endometriosis.
• Treatment with gosereline acetate (Zoladex) resulted in complete regression of pulmonary lesions.

Implications:

• This case highlights the importance of considering endometriosis in the differential diagnosis of unexplained pulmonary lesions and hydronephrosis.
• Effective management of endometriosis-related complications can lead to significant patient recovery and symptom alleviation.