Etiology of Ureteric Obstruction

Zhao, Philip; Leavitt, David; Motamedinia, Piruz; Okeke, Zeph; Smith, Arthur D.

doi:10.1002/9781119085713.ch5

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2019

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“…It can be challenging to reach a correct diagnosis for ureteric obstruction, as there are a number of differential diagnoses. Noncongenital causes include (1) urolithiasis, (2) primary carcinoma of the ureter, (3) nonurologic malignancies including ovarian, cervical, colorectal, breast and lymphoma, (4) inflammatory due to surgery, trauma, radiotherapy, endometriosis, infections, abdominal aortic aneurysm, retroperitoneal fibrosis or idiopathically, and (5) pregnancy [19]. However some initial investigation results were suggestive of endometriosis in our case.…”

Section: Discussionmentioning

confidence: 77%

Unilateral Ureteric Endometriosis at the Pelvic Brim Resulting in Complete Loss of Renal Function

Tanaka

Amoako

Gray

et al. 2019

Case Reports in Obstetrics and Gynecology

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Deep infiltrating endometriosis of the urinary tract is rare but can result in ureteric obstruction, hydroureteronephrosis and renal failure. Ureteric endometriosis usually affects the distal third of the left ureter among women of reproductive age. Greater awareness of ureteric endometriosis and a multidisciplinary approach in the management is essential to achieve optimal outcomes. We present an atypical case of right ureteric obstruction due to endometriosis at the pelvic brim resulting in complete loss of renal function and necessitating nephroureterectomy.

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Section: Discussionmentioning

confidence: 77%