Haupert S, Janin-Mercier A, Martini S, Baills J P, Pauletto M, Olier C
Ann Urol (Paris). 1985;19(3):180-3.
A case of bilateral ureteral endometriosis is reported. The patient presented, on one side, with endometriosis externa, associated with slight renal injury, and, on the other, with adenomyosis leading to uretero-ureteral invagination, and an associated severe renal impairment. A review of the reported cases and pathogenic theories is followed by a discussion of the diagnostic and therapeutic problems raised by ureteral endometriosis. The difficulty of establishing a correct diagnosis and the risk of damage to renal function often lead to surgical removal of the ureteral lesion.
报告了一例双侧输尿管子宫内膜异位症病例。患者一侧表现为外在性子宫内膜异位症,伴有轻微肾损伤;另一侧表现为子宫腺肌病导致输尿管-输尿管套叠,并伴有严重肾功能损害。在回顾所报道的病例和致病理论之后,讨论了输尿管子宫内膜异位症所引发的诊断和治疗问题。确立正确诊断的困难以及肾功能受损的风险常常导致对输尿管病变进行手术切除。