Sekihara T, Tamura Y, Makino T, Shibayama K
Department of Urology, Tomioka Health and Welfare Hospital.
Hinyokika Kiyo. 1990 Sep;36(9):1069-72.
A 35-year-old female patient was hospitalized for a headache. She was referred to our department for the evaluation of right hydronephrosis noted on the excretory urogram which was performed as part of a hypertensive diagnostic study. Endocrine examination revealed renal hypertension. Excretory urogram and antegrade pyelography showed obstruction of the lower part of the right ureter. On surgical exploration, the lower part of the right ureter was surrounded by brown tissue. Complete hysterectomy and ureterovesiconeostomy were performed. Histologically, the brown tissue around the ureter was diagnosed as endometriosis. One year after the operation, excretory urogram showed normal urinary tract and the blood pressure was 130/80 mmHg. Endometriosis is a common gynecological disease but ureteral endometriosis is relatively rare. Review of the Japanese literature disclosed 16 previous cases of ureteral endometriosis and we report the 17th case with a review of the literature.
一名35岁女性患者因头痛入院。她因排泄性尿路造影中发现右肾积水而被转诊至我科，该造影是作为高血压诊断研究的一部分进行的。内分泌检查显示为肾性高血压。排泄性尿路造影和顺行肾盂造影显示右输尿管下段梗阻。手术探查时，右输尿管下段被褐色组织包绕。遂行全子宫切除术及输尿管膀胱新造口术。组织学检查显示，输尿管周围的褐色组织被诊断为子宫内膜异位症。术后一年，排泄性尿路造影显示尿路正常，血压为130/80 mmHg。子宫内膜异位症是一种常见的妇科疾病，但输尿管子宫内膜异位症相对少见。查阅日本文献发现此前有16例输尿管子宫内膜异位症病例报道，我们现报告第17例病例并对文献进行综述。
