Gastaldi E, De Maria M, Sepich C A, Caviglione M, Mennini B, Iacoviello M, Anselmi L, Chiaro S, Traverso G B
Divisione Urologica Ospedali Civili, Genova, Sampierdarena.
Arch Ital Urol Nefrol Androl. 1992 Dec;64(4):357-60.
Endometriosis is defined as the presence of endometrial tissue outside the cavity of the uterus. The urinary tract is rarely affected, only 1 to 11%. Bladder is the most frequent urinary localization while the ureteral involvement is rare. We report a case of intrinsic ureteral endometriosis in a woman with left hydronephrosis, lumbar pain and septic fever. Instrumental and laboratory investigations can hardly lead to a reliable diagnosis of ureteral endometriosis. A final diagnosis is feasible only by histologic examination, which obviously implies surgery.