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Ureteral endometriosis with obstructive uropathy.

Ming-Fang Hsieh¹, I-Wen Wu, Chi-Jen Tsai

¹Department of Nephrology, Chang Gung Memorial Hospital, Keelung, Taiwan.

Internal Medicine (Tokyo, Japan)

|March 16, 2010

Summary

Ureteral endometriosis, though rare, can mimic cancer and cause kidney damage. Early consideration in women with backache and urinary obstruction is crucial for timely diagnosis and preventing renal loss.

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Area of Science:

Urology
Gynecology
Oncology

Background:

Endometriosis is a prevalent condition, yet its occurrence within the ureter is infrequent.
Symptoms of ureteral endometriosis often resemble those of ureteral malignancy, posing diagnostic challenges.

Observation:

A case report details a woman with a 5-year history of chronic back pain.
Imaging revealed a small, contracted right kidney with hydronephrosis and a bladder tumor.
The final diagnosis was endometriosis affecting the right lower ureter.

Findings:

Differentiating ureteral endometriosis from malignancy is clinically challenging.
Delayed diagnosis can lead to irreversible renal damage or loss.
The patient recovered well without recurrence during follow-up.

Implications:

Ureteral endometriosis must be considered in the differential diagnosis for women presenting with ureteral obstruction and chronic backache.
Increased awareness can improve diagnostic accuracy and patient outcomes.
Further research may elucidate optimal diagnostic and management strategies for this rare condition.