Ureteric endometriosis with adenomyosis: A rare association leading to the death of a kidney - Abstract

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

CORRESPONDENCE: Vishwajeet Singh, MS, MCh, Department of Urology, Chhatrapati Shahuji Maharaj Medical University (Formerly KGMC), Lucknow, Uttar Pradesh, India ()

CITATION: UroToday Int J. 2012 August;5(4):art 39.

doi: http://dx.doi.org/10.3834/uij.1944-5784.2012.08.12

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