Unilateral Ureteric Endometriosis at the Pelvic Brim Resulting in Complete Loss of Renal Function

Author:

Tanaka Keisuke12ORCID,Amoako Akwasi A.12,Gray Katherine3,Baartz David1

Affiliation:

1. Women’s and Newborn Services, Royal Brisbane and Women’s Hospital, Herston, Australia

2. Faculty of Medicine, The University of Queensland, Herston, Australia

3. Department of Urology, Royal Brisbane and Women’s Hospital, Herston, Australia

Abstract

Deep infiltrating endometriosis of the urinary tract is rare but can result in ureteric obstruction, hydroureteronephrosis and renal failure. Ureteric endometriosis usually affects the distal third of the left ureter among women of reproductive age. Greater awareness of ureteric endometriosis and a multidisciplinary approach in the management is essential to achieve optimal outcomes. We present an atypical case of right ureteric obstruction due to endometriosis at the pelvic brim resulting in complete loss of renal function and necessitating nephroureterectomy.

Publisher

Hindawi Limited

Subject

Obstetrics and Gynecology

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