Endoscopic Management of A Ureteral Obstruction Caused by Endometriosis: A Case Report

Abstract

Ureteral obstruction secondary to endometriosis is relatively uncommon. We present a 49-year-old female (gravida 3, para 2, abortion 1), who was identified as suffering from right hydronephrosis while undergoing her regular health examination. Retrograde pyelography demonstrated a partial obstruction of the right ureter in the distal third. She underwent ureteroscopy and biopsy to remove a right ureteral tumor. Histological examination confirmed ureteral endometriosis. During follow-up at the obstetrics and gynecology outpatient department, an abdominal echo was detected that revealed a right endometrioma (size, 7.5 x 4.8 x 5.5 cm) on the ovary. As a result, a total hysterectomy and bilateral salpingo-oophorectomy was performed. Although the patient had right residual hydronephrosis, the creatinine level improved to 1.2 mg/dL during follow-up.

Endometriosis for the Colorectal Surgeon

“…43 A rare but serious consequence of urinary tract endometriosis is ureteral obstruction. 44 Dyschezia is typically present when endometriosis involves the rectosigmoid colon. Cyclic abdominal pain, constipation, diarrhea, and hematochezia are other symptoms suggesting bowel endometriosis.…”