Journal List > Korean J Urol > v.48(11) > 1004826

TOOLS
Cho, Lee, Kim, Kim, and Kim: Ureteral Endometriosis
Case Report
Korean Journal of Urology

Korean Journal of Urology 2007; 48(11): 1179-1181.

Published online: 30 November 2007

DOI: https://doi.org/10.4111/kju.2007.48.11.1179

Ureteral Endometriosis

Hyun Kee Cho, Gwang Woo Lee, Jun Mo Kim, Young Ho Kim, Min Eui Kim

Department of Urology, College of Medicine, Soonchunhyang University, Bucheon, Korea.

Corresponding author (urojun@schbc.ac.kr)

Received 8 June 2007       Accepted 5 October 2007

Copyright © 2007 The Korean Urological Association

Abstract

Endometriosis is defined as the presence of functional endometrial tissue in an ectopic site. The incidence of endometriosis is from 10% to 20% for women of reproductive age. From 1% to 2% of woman with endometriosis have urinary tract lesions, of which from 70% to 80% involve the bladder. Yet ureteral endometriosis is very uncommon, and it is noted in only 0.1% to 0.4% of these cases. We report here on one case of ureteral endometriosis.

Keywords: Endometriosis, Ureteral obstruction

Figures and Tables

Fig. 1
Retrograde pyelography shows abrupt luminal narrowing at the mid-ureter with right hydroureteronephrosis, suggesting ureteral stricture rather than external lesion.
kju-48-1179-g001
Fig. 2
(A) The slide shows ureteral wall thickening and endometriosis on the ureteral wall (H&E, ×100). (B) The slide shows well developed endometrial glands and stroma (H&E, ×400).
kju-48-1179-g002
Fig. 3
Postoperative intravenous pyelography after 1 month shows no hydronephrosis or ureteral obstruction.
kju-48-1179-g003

References

1. Pugliese JM, Peterson AC, Philbrick JH Jr, Allen RC Jr. Ureteral endometriosis in patients after total abdominal hysterectomy: presentation and diagnosis: a case series. Urology. 2006. 67:622.
2. Pais VM, Strandhoy JW, Assimos DG. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Pathophysiology of urinary tract obstruction. Campbell-Walsh urology. 2007. 9th ed. Philadelphia: Saunders;1220–1221.
3. So YS, Jung DJ, Park HS, Rho J, Kim CS, Jang DS. A case of vesical endometriosis. Korean J Urol. 1997. 38:434–436.
4. Park KS, Lee TY, Woo YN, Kim DH. A case of endometriosis of the ureter. Korean J Urol. 1979. 20:509–512.
5. Slutzky JN, Callahan D. Endometriosis of the ureter can present as renal failure: a case report and review of endometriosis affecting the ureters. J Urol. 1983. 130:336–337.
6. Patel A, Thorpe P, Ramsay JW, Shepherd JH, Kirby RS, Hendry WF. Endometriosis of the ureter. Br J Urol. 1992. 69:495–498.
7. Thomas HS, Stevan B, Nakada SY. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Management of upper urinary tract obstruction. Campbell-Walsh urology. 2007. 9th ed. Philadelphia: Saunders;1255–1267.
8. Gustilo-Ashby AM, Paraiso MF. Treatment of urinary tract endometriosis. J Minim Invasive Gynecol. 2006. 13:559–565.
9. Schneider A, Touloupidis S, Papatsoris AG, Triantafyllidis A, Kollias A, Schweppe KW. Endometriosis of the urinary tract in women of reproductive age. Int J Urol. 2006. 13:902–904.
10. Antonelli A, Simeone C, Frego E, Minini G, Bianchi U, Cunico SC. Surgical treatment of ureteral obstruction from endometriosis: our experience with thirteen cases. Int Urogynecol J Pelvic Floor Dysfunct. 2004. 15:407–412.
TOOLS
Similar articles