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Lee, Kim, Jeon, Kim, Chae, Kim, and Kang: Three cases of endometriosis of the urinary tract
Case Report
Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(1): 83-89.

Published online: 31 January 2010

DOI: https://doi.org/10.5468/kjog.2010.53.1.83

Three cases of endometriosis of the urinary tract

Sang-Hun Lee, M.D., So-Ra Kim, M.D., Gyun-Ho Jeon, M.D., Sung-Hoon Kim, M.D., Hee-Dong Chae, M.D., Chung-Hoon Kim, M.D., Byung-Moon Kang, M.D.

Department of Obstetrics and Gynecology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.

Corresponding author (hdchae@amc.seoul.kr)

Received 1 June 2009       Accepted 5 October 2009

Copyright © 2010 Korean Society of Obstetrics and Gynecology

Abstract

Endometriosis is a long term, disabling condition and a relatively common disease, affecting 5~15% of the adult female population. Endometriosis of the urinary tract, which occurs mostly bladder or ureter, is rare and accounts for 1 or 2% of cases. However, they may cause hydronephrosis and other serious complications on the involved site. We experienced one case of vesical endometriosis and two cases of ureteral endometriosis, and report these cases with a brief review of the concerned literatures.

Keywords: Endometriosis, Urinary tract, Hydronephrosis

Figures and Tables

Figure 1
The computer tomography shows collapsed distal ureter below uterine cervical portion without any obstructive cause.
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Figure 2
Transvaginal sonography reveals an 2.4×1.7 cm sized polypoid homogenous mass on posterolateral wall of bladder.
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Figure 3
Cystoscopic view shows a 3~4 cm sized broad-based papillary solid tumor on trigone of posterior bladder wall.
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Figure 4
The computer tomographic urography shows ureteral tumor suspected as a transitional cell carcinoma at left distal ureter to ureterovesical junction and left hydronephroureterosis.
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Figure 5
The gross finding of ureter shows the invasion of endometritic tissue into periureteral tissue.
kjog-53-83-g005

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