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Related Experiment Videos

Endometriosis presenting as hydronephrosis.

Ahmed Bakheet Zaharani1, G V Soundra Pandyan

  • 1Department of Urology, Assir Central Hospital, King Khalid College of Medical Sciences, Abha, Saudi Arabia.

Thescientificworldjournal
|October 18, 2005
PubMed
Summary

Endometriosis can cause serious kidney damage (hydronephrosis) due to ureteric obstruction. Early diagnosis and treatment are crucial, as demonstrated by a case requiring surgical intervention for ureteric stricture.

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Area of Science:

  • Urology
  • Gynecology
  • Pathology

Background:

  • Endometriosis is a condition where uterine tissue grows outside the uterus.
  • Ureteric involvement in endometriosis can lead to hydronephrotic renal atrophy, a severe urological complication.
  • Diagnosis is often delayed due to non-specific symptoms and reliance on clinical suspicion.

Observation:

  • A young, unmarried female presented with a 2-year history of left loin pain.
  • Imaging revealed a lower ureteric stricture causing hydronephrosis secondary to pelvic endometriosis.
  • The patient had a family history of endometriosis but no menstrual irregularities.

Findings:

  • Initial treatment with diagnostic laparoscopy, ureteric stenting, and hormonal therapy failed to resolve the ureteric obstruction.

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  • Surgical management, including endometrioma excision, left oophorectomy, and ureteric reconstruction (uretero-ureterostomy), was ultimately required.
  • Histopathological confirmation of endometriosis was obtained from the resected lesion.

    • Implications:

    • This case highlights the importance of considering endometriosis in young women with unexplained loin pain and obstructive uropathy.
    • Aggressive management, including surgical intervention, may be necessary when conservative treatments are ineffective for ureteric endometriosis.
    • Awareness of this urological complication is vital for timely diagnosis and prevention of irreversible renal damage.