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Related Experiment Videos

Retroperitoneal endometriosis causing cyclical ureteral obstruction

P G Sakellariou1, A G Protopapas, N I Kyritsis

  • 11st Department of Obstetrics and Gynecology, University of Athens, 'Alexandra' Hospital, Greece.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|July 1, 1996
PubMed
Summary

Retroperitoneal endometriosis can obstruct the ureter, causing cyclical pain during menstruation. This case highlights diagnostic challenges and successful surgical management involving ureteral resection and anastomosis.

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Area of Science:

  • Gynecology
  • Urology
  • Surgical Pathology

Background:

  • Endometriosis is a condition where endometrial-like tissue grows outside the uterus.
  • Retroperitoneal endometriosis is rare, and involvement of the ureter is uncommon.
  • Cyclical ureteral obstruction during menstruation can be a presenting symptom.

Observation:

  • A patient presented with cyclical left ureteral obstruction correlating with menstrual cycles.
  • Preoperative clinical and laboratory evaluations did not reveal definitive pathological findings.
  • Diagnosis was challenging due to the atypical location and presentation of endometriosis.

Findings:

  • Retroperitoneal endometriosis involving the periureteral tissues of the left ureter was confirmed.
  • Surgical resection of the affected ureteral segment was performed.

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  • Successful end-to-end anastomosis of the left ureter was achieved.

    • Implications:

    • This case underscores the importance of considering endometriosis in the differential diagnosis of cyclical ureteral obstruction.
    • Highlights the diagnostic difficulties associated with rare presentations of endometriosis.
    • Demonstrates the feasibility and success of surgical intervention for ureteral endometriosis.