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Complete loss of unilateral renal function secondary to endometriosis: a report of three cases.

AbstractOBJECTIVES:
To report the impact that urinary tract endometriosis may have on renal function. Ureteral endometriosis is an uncommon and silent cause of renal injury. It is therefore very important to be highly suspicious in order to be able to make an early diagnosis and thus prevent renal failure.
STUDY DESIGN:
Case reports of the management and outcome of three cases of premenopausal women with deep endometriosis affecting the ureter, associated with secondary unilateral complete loss of renal function.
RESULTS AND CONCLUSIONS:
Ureteral involvement by endometriosis is a rare and often silent disease which is capable of producing significant morbidity, as it can lead to hydronephrosis and ultimately to renal failure. Because of the lack of specific symptoms and the limitations of imaging methods, a high index of suspicion is necessary to obtain an early diagnosis. On diagnosis of deep infiltrating endometriosis, urinary tract ultrasound is a screening tool to detect ureterohydronephrosis due to ureteral obstruction. MRI is of value to map the extent of disease. Surgery is the treatment of choice to remove endometriotic lesions and relieve ureteral obstruction if the kidney is still functional, or to perform a nephrectomy if there is a complete loss of renal function.
AuthorsSara Arrieta Bretón, Ana López Carrasco, Alicia Hernández Gutiérrez, Roberto Rodríguez González, Javier de Santiago García
JournalEuropean journal of obstetrics, gynecology, and reproductive biology (Eur J Obstet Gynecol Reprod Biol) Vol. 171 Issue 1 Pg. 132-7 (Nov 2013) ISSN: 1872-7654 [Electronic] Ireland
PMID24007623 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2013 Elsevier Ireland Ltd. All rights reserved.
Topics
  • Adult
  • Endometriosis (complications, surgery)
  • Female
  • Humans
  • Hydronephrosis (etiology, surgery)
  • Kidney Failure, Chronic (etiology)
  • Magnetic Resonance Imaging
  • Middle Aged
  • Radionuclide Imaging
  • Treatment Outcome
  • Ultrasonography
  • Ureter (surgery)
  • Ureteral Diseases (complications, surgery)
  • Ureteral Obstruction (etiology, surgery)
  • Urinary Tract (diagnostic imaging)

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