Obstruction from endometriosis causing hydronephrosis and complex renal pelvis rupture: A case report

Area of Science:

• Urology
• Gynecology
• Nephrology

Background:

• Endometriosis is a condition with varied clinical presentations.
• Urinary tract involvement in endometriosis can lead to significant complications.
• Diagnostic challenges arise due to the diverse manifestations of endometriosis.

Observation:

• A 30-year-old woman with a history of endometriosis presented with acute left flank pain.
• Initial workup revealed left hydronephrosis without kidney stones.
• Imaging demonstrated urinary obstruction attributed to endometriosis, leading to renal pelvis rupture.

Findings:

• Endometriosis was identified as the cause of acute urinary obstruction.
• A distal ureteral stricture was found to be the specific obstruction.
• Nephrostomy tube placement and ureteral stenting successfully resolved the obstruction.

Implications:

• Highlights the importance of considering endometriosis in cases of unexplained urinary obstruction.
• Emphasizes the need for emergency physicians to maintain a high index of suspicion for endometriosis-related uropathy.
• Underscores the value of prompt diagnosis and intervention to prevent severe renal damage and surgical intervention.