Rösner N, Böger A
Eur Urol. 1979;5(5):294-7. doi: 10.1159/000473137.
Endometriosis of the ureter is an exceptional cause of ureteral obstruction. Pathogenesis and clinical picture are demonstrated on the basis of 2 cases, giving an example for the spread of endometrial tissue via the lymphatics. It is emphasized that young women should have a gynecological examination in case of pelvic ureteral obstruction. Final diagnosis of the isolate ureteral endometriosis can only be made by histological examination. Therapy is usually surgical followed by hormonal treatment. The routine use of excretory urograms in women suffering from endometriosis should prevent urological complications.
输尿管子宫内膜异位症是输尿管梗阻的罕见原因。通过2例病例阐述了其发病机制和临床表现,举例说明了子宫内膜组织通过淋巴管扩散的情况。强调年轻女性出现盆腔输尿管梗阻时应进行妇科检查。孤立性输尿管子宫内膜异位症的最终诊断只能通过组织学检查做出。治疗通常是手术治疗,随后进行激素治疗。子宫内膜异位症女性常规进行排泄性尿路造影应可预防泌尿系统并发症。