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Renal endometriosis. A case report

T Gauperaa, H Stalsberg

    Scandinavian Journal of Urology and Nephrology
    |January 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    This case report details a rare instance of endometriosis in the kidney, a condition documented only eight times previously. The patient presented with lumbar pain and underwent a nephrectomy, revealing endometriosis alongside xanthogranulomatous pyelonephritis.

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    Area of Science:

    • Urology
    • Gynecologic Pathology
    • Nephrology

    Background:

    • Renal endometriosis is an extremely rare condition.
    • Endometriosis typically affects pelvic organs but can occur ectopically.
    • Xanthogranulomatous pyelonephritis is a chronic inflammatory process of the kidney.

    Observation:

    • A 23-year-old woman presented with lumbar pain.
    • Imaging studies (I.V.P., retrograde pyelography, renal angiography) revealed an expansive process in the right kidney.
    • Nephrectomy was performed for diagnosis and treatment.

    Findings:

    • Histological examination confirmed endometriosis coexisting with localized xanthogranulomatous pyelonephritis.
    • This represents the ninth reported case of renal endometriosis in the medical literature.

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  • The association of endometriosis with xanthogranulomatous pyelonephritis is particularly noteworthy.

    • Implications:

    • This case expands the understanding of ectopic endometriosis locations.
    • Highlights the importance of considering rare diagnoses in complex renal pathologies.
    • Further research may elucidate the pathogenesis of renal endometriosis and its associations.