Matsumoto S, Minami T, Nishioka T, Akiyama T, Maekura S
Department of Urology, Sakai Hospital, Kinki University School of Medicine.
Hinyokika Kiyo. 2000 Dec;46(12):903-5.
A 48-year-old female was found to have right flank pain at another hospital and transabdominal ultrasonography showed right hydronephrosis. She was referred to our department for further examination. She had undergone right oophorectomy and total hysterectomy 3 years before. Intravenous pyelography showed right hydronephrosis and retrograde pyelography revealed ureteral stenosis at the lower portion of the right ureter. Endometriosis had developed at the site of previous surgery on the appendix. A mass was formed in an extensive area including the endometriotic lesion, due to adhesion following previous surgery or other reasons, and extended to the retroperitoneum, thereby inducing right ureteral stenosis. The postoperative course was uneventful. The pathological diagnosis was endometriosis of the residual appendix.
一名48岁女性在另一家医院被发现有右侧腰痛，经腹部超声检查显示右肾积水。她被转诊至我科做进一步检查。她3年前接受了右侧卵巢切除术和全子宫切除术。静脉肾盂造影显示右肾积水，逆行肾盂造影显示右侧输尿管下段狭窄。既往阑尾手术部位发生了子宫内膜异位症。由于既往手术粘连或其他原因，在包括子宫内膜异位病变的广泛区域形成了一个肿块，并延伸至腹膜后，从而导致右侧输尿管狭窄。术后过程顺利。病理诊断为残留阑尾子宫内膜异位症。
