A 34-year-old female presented with recurrent right flank pain with severe dysmenorrhoea.
She was diagnosed with a right parametrial mass encasing the right ureter, leading to severe hydroureteronephrosis and non-functioning kidney. Initially she was managed with danazol and showed a positive response but there was a relapse following cessation of danazol. Finally, we performed a right nephroureterectomy with total abdominal hysterectomy and a bilateral salpingo-oophorectomy. The histopathological examination showed right ureteric wall involvement of endometrial tissue, adenomyosis, and chocolate ovarian cysts. The patient is doing well in the last 12 months of follow-up.
KEYWORDS: Ureteric endometriosis, renal loss, chronic pelvic pain
CITATION: UroToday Int J. 2012 August;5(4):art 39.