Bilateral ureteral endometriosis—an indolent, aggressive, and dangerous condition

Fernandes, Lucas Matos; Ebaid, Gustavo; Bassi, Marco

doi:10.1016/j.fertnstert.2020.08.1427

Cited by 6 publications

(5 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence of UE has increased in recent years. UE most commonly involves the distal ureter, particularly the left side [ 2 ], and is considered an aggressive disease [ 3 ]. The early symptoms of UE are hidden and lack specificity, making it often missed and misdiag-nosed, which often leads to prolongation of the disease course.…”

Section: Introductionmentioning

confidence: 99%

Severe Ureteral Endometriosis Complicated with Hydronephrosis: A Case Report

Bai

et al. 2022

Am J Case Rep

View full text Add to dashboard Cite

Patient: Female, 42-year-old Final Diagnosis: Right hydronephrosis • ureteral endometriosis Symptoms: Tolerated painful cramps Medication: — Clinical Procedure: Right ureteral mass resection and right ureteral stump anastomosis Specialty: Obstetrics and Gynecology Objective: Unusual clinical course Background: Endometriosis is a disease characterized by endometrial tissue appearing outside the uterus, mainly involving the peritoneum and pelvic organs. Ureteral endometriosis (UE) is rare, typified by deep infiltrating endometriosis involving the ureter and can result in ureteral obstruction, proximal hydroureter, hydronephrosis, and impairment of renal function. Symptoms may be insidious and nonspecific and may lead to a prolonged disease course. We describe a patient with UE complicated by hydronephrosis. Case Report: A 42-year-old woman was admitted to the Urology Department with the incidental discovery of right hydronephrosis. After a thorough examination, she underwent right ureteral mass resection and right ureteral stump anastomosis. The pathology report indicated endometriosis. The patient was given 6 doses of gonadotropin-releasing hormone agonist immediately after surgery, followed by an intrauterine levonorgestrel-releasing system. Postoperative follow-up showed that no recurrence was observed in this year. Here, we briefly summarize the epidemiology, pathogenesis, clinical presentation, imaging, treatment, and prognosis of the disease. Conclusions: UE should be listed as one of the differential diagnoses of unexplained hydronephrosis in women of childbearing age, and those with dysmenorrhea should be cognizant of this disease. Active surgical treatment and long-term management should be carried out to obtain better prognosis.

show abstract

Section: Introductionmentioning

confidence: 99%

Severe Ureteral Endometriosis Complicated with Hydronephrosis: A Case Report

Bai

et al. 2022

Am J Case Rep

View full text Add to dashboard Cite

show abstract

“…3 It is a benign disease 4 that can occur in any part of the body 5 and most commonly in the ovaries. However, it is rare in the ureter, 6 and even rare with increased FDG uptake. 5,7 The PET/CT findings in the presented case resemble malignant ureteral tumors such as urothelial carcinoma of the ureter 8 and ureteral mucosal-related lymphoma.…”

mentioning

confidence: 99%

Urinary Endometriosis Misdiagnosed as Ureteral Malignant Tumor by PET/CT

Zhu,

Cheng,

Wang

et al. 2024

Clin Nucl Med

View full text Add to dashboard Cite

Endometriosis is a chronic inflammatory estrogen-dependent benign disease. It is defined as the endometrium growing outside the uterine cavity and the myometrium. It usually has low FDG uptake but rarely occurs in the ureters. We reported a case of a 47-year-old woman’s left ureteral nodule originally misdiagnosed as a ureteral malignant tumor by PET/CT and finally pathologically confirmed as endometriosis.

show abstract

“…As I watch the video of Fernandes et al on laparoscopic bilateral ureteral reimplantation for ureteral endometriosis (1), it brings to mind one of the central themes of the movie Saving Private Ryan. Similar to how the war had killed three of the four sons within the same family, and the fourth son was in imminent danger, endometriosis had affected different organs of the reported patient and was endangering her kidneys.…”

mentioning

confidence: 99%

“…Fernandes et al described a unique case of laparoscopic approach to bilateral ureteral reimplantation for ureteral endometriosis (1). A 36-year-old woman with a history of segmental bowel resection and left ovarian cystectomy due to advanced-stage endometriosis presented with lumbar pain and was found to have bilateral hydronephrosis and deteriorating kidney function.…”

mentioning

confidence: 99%

“…Ureteroneocystostomy with reimplantation of the unilateral (or bilateral) ureter(s) into the bladder has been suggested for patients with severe ureteral stricture (particularly near the bladder), extensive ureteral stenosis preventing end-to-end anastomosis, or in the case of recurrent ureteral stenosis after previous conservative surgical approach. Case series involving video laparoscopic unilateral ureteral reimplantation due to ureteral endometriosis have revealed very low rates of complications or recurrence at 6 months postoperatively (1,2).…”

mentioning

confidence: 99%

See 1 more Smart Citation