Ceska Gynekol. 2022;87(3):188-192. doi: 10.48095/cccg2022188.
We present two case reports of asymptomatic ureteral endometriosis leading to hydronephrosis. We demonstrate the significance of routine ultrasound scanning of the upper urinary tract in patients with dia gnosed deep infiltrating endometriosis.
The first case report describes a symptomatic patient after a surgery for deep endometriosis. After the surgery, she was completely without symptoms, but during regular check-ups she developed progressive hydronephrosis on the right side and it did not respond to conservative treatment. Surgery deliberation of the ureter was indicated. The second case report describes a patient with already developed severe hydronephrosis on the left side. The functional kidney examination proved complete renal loss of the left kidney. Because of recurrent pyelonephritis in the nonfunctional kidney, nephrectomy was indicated.
Ureteral endometriosis presents a rare, but insidious form of endometriosis, which is very often asymptomatic and diagnosed at a later stage. It can cause a complete silent loss of renal function. Routine ultrasound scanning examination of the upper urinary tract in all patients with diagnosed endometriosis could prevent this severe complication.
我们报告两例无症状输尿管子宫内膜异位症导致肾积水的病例。我们展示了在诊断为深部浸润性子宫内膜异位症的患者中常规进行上尿路超声检查的重要性。
第一个病例报告描述了一例深部子宫内膜异位症手术后出现症状的患者。手术后，她完全没有症状，但在常规检查中，她的右侧出现进行性肾积水，且对保守治疗没有反应。因此，需要对输尿管进行手术审议。第二个病例报告描述了一例左侧已出现严重肾积水的患者。功能肾检查证实左侧肾功能完全丧失。由于非功能肾反复发生肾盂肾炎，需要进行肾切除术。
输尿管子宫内膜异位症是一种罕见但隐匿的子宫内膜异位症形式，其通常无症状，且在后期才被诊断出来。它可导致完全无症状的肾功能丧失。在所有诊断为子宫内膜异位症的患者中常规进行上尿路超声检查可以预防这种严重并发症。
