Bahall Vishal, Hosein Yasmin, Konduru Siva, Barrow Mickhaiel
Obstetrics and Gynaecology, The University of the West Indies, St Augustine, TTO.
Obstetrics and Gynaecology, San Fernando General Hospital, San Fernando, TTO.
Cureus. 2021 Oct 20;13(10):e18919. doi: 10.7759/cureus.18919. eCollection 2021 Oct.
Intrinsic ureteral endometriosis is a very rare presentation of deep infiltrating endometriosis. It can lead to urinary tract obstruction and loss of renal function. Clinical suspicion and radiologic assessment can aid in preoperative diagnosis and help plan surgical treatment. Herein we report a case of a 29-year-old female who presented with left-sided pelvic and flank pain. Imaging revealed left obstructive uropathy and a left ureteral mass. She underwent laparotomy and resection of the diseased ureter with primary re-anastomosis. Histology confirmed intrinsic ureteral endometriosis. There was subsequently complete resolution on follow-up imaging, with no permanent loss of renal function.
输尿管内异症是深部浸润性内异症的一种非常罕见的表现形式。它可导致尿路梗阻和肾功能丧失。临床怀疑及影像学评估有助于术前诊断并辅助制定手术治疗方案。在此，我们报告一例29岁女性，其表现为左侧盆腔及侧腹疼痛。影像学检查显示左侧梗阻性尿路病及左侧输尿管肿物。她接受了剖腹手术，切除病变输尿管并进行一期再吻合术。组织学检查证实为输尿管内异症。随后的随访影像学检查显示完全缓解，肾功能无永久性丧失。
