Takamura C, Katoh Y, Mitsubayashi S, Akiyama T, Kurita T
Department of Urology, Kinki University, School of Medicine.
Hinyokika Kiyo. 1989 Jul;35(7):1201-5.
A case of right ureteral stricture due to endometriosis in the pouch of Douglas was presented. A 46-year-old housewife was referred to our clinic with asymptomatic macroscopic hematuria on August 22, 1985. Intravenous pyelography (IVP) and abdominal computed tomographic scanning revealed right hydronephrosis and retrograde pyelography showed that ureteral stenosis existed at the lower portion of the right ureter. Right stenotic ureter was removed in 5 cm and ureterovesiconeostomy with psoas hitch method was performed following hysterectomy, left adenexotomy, right salpingectomy on November 28, 1985. Pathological specimen of the ureter revealed that endometriosis existed around the ureteral mucosa. Medication with Danazol was started from the third operative day. Two months later, IVP revealed decreasing right hydronephrosis and she was quite healthy without complaints.
本文报告一例因Douglas陷凹子宫内膜异位症导致右侧输尿管狭窄的病例。一名46岁家庭主妇于1985年8月22日因无症状肉眼血尿转诊至我院。静脉肾盂造影（IVP）及腹部计算机断层扫描显示右肾积水，逆行肾盂造影显示右侧输尿管下段存在狭窄。1985年11月28日，在子宫切除、左侧附件切除、右侧输卵管切除术后，切除右侧狭窄输尿管5cm，并采用腰大肌悬吊法行输尿管膀胱吻合术。输尿管病理标本显示输尿管黏膜周围存在子宫内膜异位症。术后第三天开始使用达那唑治疗。两个月后，IVP显示右肾积水减轻，患者身体健康，无不适主诉。
