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Ureteral obstruction from endometriosis: a case report and review of the literature

Frachet, O.; Mallick, S.; Comoz, F.; Rousselot, P.; Bensadoun, H.

Journal de Gynecologie Obstetrique et Biologie de la Reproduction 35(5 Pt 1): 500-503

2006

ISSN/ISBN: 0368-2315
PMID: 16940920
Document Number: 603894
Endometriosis frequently affects women with genital activity and exceptionally involves the urinary tract, and the ureter in particular. From a case report of a female consulting for renal colic pain related to an intrinsic-type pelvic ureteral endometriosis, we report the difficulty in diagnosing this pseudotumoral obstruction and finding therapeutic options with a review of the literature. Ureteral endometriosis is marked by non-specific symptoms liable to delay preoperative diagnosis with a risk of deterioration of renal function due to the obstruction. Regarding the therapeutic approach, the surgical treatment associated or not with GNRH agonists seems best.

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