Ureteral Endometriosis with Obstructive Uropathy

作者：Hsieh Ming Fang; Wu I Wen; Tsai Chi Jen; Huang Shian Shiang; Chang Liang Che; Wu Mai Szu^*

来源：Internal Medicine, 2010, 49(6): 573-576.

DOI：10.2169/internalmedicine.49.2797

• ureteral endometriosis
• obstructive uropathy

Endometriosis is a common disease, but ureteral involvement is rare. The symptoms and signs of ureteral endometriosis mimic those of ureteral malignancy. This case report describes a woman who presented with chronic back pain for 5 years. Imaging studies showed a right small contracted kidney with hydronephrosis and a bladder tumor. Endometriosis of the right lower ureter was ultimately diagnosed. The patient was healthy without recurrence during follow-up. It is difficult to differentiate between ureteral endometriosis and malignancy; in fact, renal loss may occur before diagnosis. Ureteral endometriosis should be considered for women with ureteral obstruction manifesting as chronic backache.

• 出版日期2010
• 单位长春大学