A Rare Cause of Unilateral Hydronephrosis

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.

[1]  B. Gabriel,et al.  Prevalence and management of urinary tract endometriosis: a clinical case series. , 2011, Urology.

[2]  C. Ponticelli,et al.  Ureteral Endometriosis: A Rare and Underdiagnosed Cause of Kidney Dysfunction , 2009, Nephron Clinical Practice.

[3]  K. Tozawa,et al.  [Clinical evaluation of ureteral endometriosis: report of 8 cases]. , 2003, Hinyokika kiyo. Acta urologica Japonica.

[4]  P. Yohannes Ureteral endometriosis. , 2003, The Journal of urology.

[5]  C. Comiter Endometriosis of the urinary tract. , 2002, The Urologic clinics of North America.

[6]  O. Westney,et al.  Bladder endometriosis: conservative management. , 2000, The Journal of urology.

[7]  K. Waller,et al.  The prevalence of endometriosis in women with infertile partners. , 1993, European journal of obstetrics, gynecology, and reproductive biology.

[8]  K. Muse Clinical Manifestations and Classification of Endometriosis , 1988, Clinical obstetrics and gynecology.

[9]  T. Stillwell,et al.  Endometriosis of ureter. , 1986, Urology.