Lumbar Ureteral Stenosis due to Endometriosis : Our Experience and Review of the Literature
Joint Authors
Di Benedetto, Antonina
Inferrera, Antonino
D'Amico, Carmela Emanuela
Lagana, Antonio Simone
Barresi, Valeria
Butticè, Salvatore
Mucciardi, Giuseppe
Magno, Carlo
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-02
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Endometriosis is a chronic gynaecological disorder characterized by the presence of endometrial tissue outside the uterus.
The disease most often affects the ovaries, uterine ligaments, fallopian tubes, and cervical-vaginal region.
Urinary tract involvement is rare, accounting for around 1%-2% of all cases, of which 84% are in the bladder.
We report a case of isolated lumbar ureteral stenosis due to endometriosis in a 37-year-old patient.
The patient came to our observation complaining from lumbar back pain and presented with severe fever.
The urological examination found monolateral left positive sign of Giordano.
Blood tests evidenced marked lymphocytosis and increased valued of C-reactive protein.
Urologic ultrasound showed hydronephrosis of first degree in the left kidney and absence of images related to stones bilaterally.
Uro-CT scan evidenced ureteral stenosis at the transition between the iliac and pelvic tracts.
We addressed the patient to surgery, and performed laparoscopic excision of the paraureteral bulk, endoscopic mechanical ureteral dilation, and stenting.
The histological examination evidenced glandular structures lined by simple epithelium and surrounded by stroma.
Immunohistochemical test of the glandular epithelium showed positivity for estrogen and progesterone receptors and moreover stromal cells were positive for CD10.
The finding suggested a very rare diagnosis of isolated lumbar ureteral endometriosis.
American Psychological Association (APA)
Butticè, Salvatore& Lagana, Antonio Simone& Barresi, Valeria& Inferrera, Antonino& Mucciardi, Giuseppe& Di Benedetto, Antonina…[et al.]. 2013. Lumbar Ureteral Stenosis due to Endometriosis : Our Experience and Review of the Literature. Case Reports in Urology،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-500028
Modern Language Association (MLA)
Butticè, Salvatore…[et al.]. Lumbar Ureteral Stenosis due to Endometriosis : Our Experience and Review of the Literature. Case Reports in Urology No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-500028
American Medical Association (AMA)
Butticè, Salvatore& Lagana, Antonio Simone& Barresi, Valeria& Inferrera, Antonino& Mucciardi, Giuseppe& Di Benedetto, Antonina…[et al.]. Lumbar Ureteral Stenosis due to Endometriosis : Our Experience and Review of the Literature. Case Reports in Urology. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-500028
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500028