Öz
Endometriosis is charactherized with existing of endometrial cells outside of uterus. Endometriosis usually effects ovaries, fallopian tubes and uterine ligaments. It rarely places on ureter. We presented a 42 year-old female patient with lumbar pain and dysuria referred to our clinic. Urinary sediment showed microscopic hematuria and imaging studies with left renal hydronephrosis. Projecting into the lumen of the ureter showed a mass in the diagnostic ureterorenoscopy. We performed distal ureterectomy and ureteroneocystostomy in the treatment of ureteral mass. Microscopic evalution of the ureteral mass showed endometriosis. Endometriosis should be considered as a rare cause of hydronephrosis in female patients with an undetectable stone in imaging studies
Anahtar Kelimeler
Kaynakça
- Schindler AE. Dienogest of endometriosis in long term treatment. Int J Womens Health 2011; 3:175-84.
- Westney O, Amundsen CI, McGuire EJ. Bladder endometriosis: Conservative manegement. J Urol 2000; 163:1814-7.
- Waller KG, Lindsay P, Curtis P, Shaw RW. The prevalance of endometriosis in women with infertile partners. Eur J Obstet Gynecol Reprod Biol 1993; 48:135-9.
- Yohannes P. Ureteral Endometriosis. J Urol 2003; 170:20-5.
- Stillwell TJ, Kramer SA, Lee RA. Endometriosis of ureter. Urology 1986; 28:81-5.
- Gabriel B, Nassif J, Trompoukis P, Barata S, Wattiez A. Prevalence and manegement of urinary Tract Endometriosis: A Clinical Cases Series. Urology 2011; 78:1269-74.
- Comiter CV. Endometriosis of urinary tract. Urol Clin North Am 2002; 29: 625-635.
- Ponticelli C, Graziani G, Montanari E. Ureteral Endometriosis: A Rare and Underdiagnosed Cause of Kidney Dysfunction. Nephron Clin Pract 2010; 114, c89-93. doi:10. 1159/000254380
- Muse K. Clinical manifestations and classification of endometriosis. Clin Obstet Gynecol 198; 31:813-22.
- Nishihara K, Kawai N, Hibino M et al. Clinical evaluation of ureteral endometriosis: report of 8 cases. Hinyokika Kiyo 2003; 49:285-9.
Öz
Endometrisis, endometrium dokusunun uterus dışında yerleşmesidir. Çoğunlukla overler, fallop tüpleri ve uterin ligamentleri etkiler. Daha az sıklıkta üreterde de yerleşim gösterebilir. 42 yaşında, kadın hasta lomber ağrı ve dizüri yakınması ile başvurdu. İdrar sedimentinde mikroskopik hematüri ve görüntüleme çalışmalarında sol renal hidronefroz saptandı. Tanısal üreteroskopisinde lümene projekte kitle izlendi. Hastaya segmenter üreter rezeksiyonu ve üreteroneosistostomi uygulandı. Mikroskopik incelemede üreter yerleşimli endometriozis saptandı. Görüntüleme yöntemleriyle taş tespit edilemeyen bayan hastalarda hidronefrozun nadir nedeni olan endometriosis akılda tutulmalıdır
Anahtar Kelimeler
Kaynakça
- Schindler AE. Dienogest of endometriosis in long term treatment. Int J Womens Health 2011; 3:175-84.
- Westney O, Amundsen CI, McGuire EJ. Bladder endometriosis: Conservative manegement. J Urol 2000; 163:1814-7.
- Waller KG, Lindsay P, Curtis P, Shaw RW. The prevalance of endometriosis in women with infertile partners. Eur J Obstet Gynecol Reprod Biol 1993; 48:135-9.
- Yohannes P. Ureteral Endometriosis. J Urol 2003; 170:20-5.
- Stillwell TJ, Kramer SA, Lee RA. Endometriosis of ureter. Urology 1986; 28:81-5.
- Gabriel B, Nassif J, Trompoukis P, Barata S, Wattiez A. Prevalence and manegement of urinary Tract Endometriosis: A Clinical Cases Series. Urology 2011; 78:1269-74.
- Comiter CV. Endometriosis of urinary tract. Urol Clin North Am 2002; 29: 625-635.
- Ponticelli C, Graziani G, Montanari E. Ureteral Endometriosis: A Rare and Underdiagnosed Cause of Kidney Dysfunction. Nephron Clin Pract 2010; 114, c89-93. doi:10. 1159/000254380
- Muse K. Clinical manifestations and classification of endometriosis. Clin Obstet Gynecol 198; 31:813-22.
- Nishihara K, Kawai N, Hibino M et al. Clinical evaluation of ureteral endometriosis: report of 8 cases. Hinyokika Kiyo 2003; 49:285-9.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2014 |
| Yayımlandığı Sayı | Yıl 2014Sayı: 1 |