International Urogynecology Journal

, Volume 5, Issue 1, pp 52–55 | Cite as

Bilateral extrinsic endometriosis of the ureters with renal failure: A case report

  • D. E. E. Rizk
Case Report


Ureteral involvement in endometriosis is usually overlooked because it complicates less than 0.5% of cases and remains asymptomatic in the majority. Despite its rarity, ureteral endometriosis is important because the consequent irreversible renal damage may cause considerable morbidity. A case of chronic renal failure caused by bilateral extrinsic endometriosis is described. The patient presented with acute abdominal pain prior to the planned radical surgical procedure. She did not complain of menstrual dysfunction or urinary symptoms. Bilateral adnexal masses and the sensory loss of pelvic nerve compression were found on physical examination. Incidental routine investigations showed deranged renal function and obstructive uropathy. Ureterolysis, bilateral salpingooophorectomy and subtotal hysterectomy successfully relieved the obstruction. The potential existence of ureteral endometriosis should be realized. Vigilance in performing surgery offers the best chance of cure.


Endometriosis Renal failure Ureters 


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  1. 1.
    Denes FT, Pompeo ACL, Montellato NID, Lopes RN. Ureteral endometriosis. Int Urol Nephrol 1980;12:205–209Google Scholar
  2. 2.
    Case Records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 49-1987. A 48-year-old woman with a history of nephrolithiasis, ureteral narrowing, and an adnexal mass. N Engl J Med 1987;371:1456–1464Google Scholar
  3. 3.
    Moore JG, Hibart LT, Growden WA, Shifrin BS. Urinary tract endometriosis: engimas in diagnosis and management. Am J Obstet Gynecol 1979;134:162–172Google Scholar
  4. 4.
    Kerr WS. Endometriosis involving the urinary tract. Clin Obstet Gynecol 1966;9:331–357Google Scholar
  5. 5.
    Gehr TW, Sica DA. Case report and review of the literature: ureteral endometriosis. Am J Med Sci 1987;294:346–352Google Scholar
  6. 6.
    Klein RS, Cattolica E. Ureteral endometriosis. Urology 1979;13:477–482Google Scholar
  7. 7.
    Reddy AN, Evans AT. Endometriosis of the ureters. J Urol 1974;111:474–480Google Scholar
  8. 8.
    Stiehm WD, Becker JA, Weiss RM. Ureteral endometriosis. Radiology, 1972;102:563–565Google Scholar
  9. 9.
    Langmade CF. Pelvic endometriosis and ureteral obstruction. Am J Obstet Gynecol 1975;122:463–469Google Scholar
  10. 10.
    Keily EA, Grainger R, Kay EW, Butler MR. Post-menopausal ureteric endometriosis. Br J Urol 1988;62:91–92Google Scholar
  11. 11.
    Rivlin ME, Miller JD, Krueger RP, Patel RB, Bower JD. Leuprolide acetate in the management of ureteral obstruction caused by endometriosis. Obstet Gynecol 1990;75:532–536Google Scholar
  12. 12.
    Matsuura K, Kawasaki N, Oka M, Hisao II, Maeyama M. Treatment with danazol of ureteral obstruction caused by endometriosis. Acta Obstet Gynecol Scand 1985;64:339–343Google Scholar
  13. 13.
    Waxman J, Man A, Hendry WF, Whitfield HN, Besser GM. Importance of early tumour exacerbation in patients treated with long-acting analogues of gonadotrophin releasing hormone for advanced prostatic cancer. Br Med J 1985;291:1387–1388Google Scholar
  14. 14.
    Neves-e-Castro M, Correia MFC. Use of luteinizing hormone-releasing hormone analogs in non-neoplastic gynecologic conditions. Semin Reprod Endocrinol 1987;5:411–419Google Scholar
  15. 15.
    Reid BA, Gangar KF, Beard RW. Severe endometriosis treated with gonadotrophin releasing hormone agonist and continuous combined hormone replacement therapy. Br J Obstet Gynaecol 1992;99:344–345Google Scholar

Copyright information

© The International Urogynecology Journal 1994

Authors and Affiliations

  • D. E. E. Rizk
    • 1
  1. 1.Department of Obstetrics and GynaecologyLlandough HospitalPenarth, CardiffUK

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