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      Renal endometriosis mimicking a renal tumor in a pregnant patient

      case-report

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          Abstract

          Renal endometriosis, if progressed is a serious localization of disease burden that can lead to urinary tract obstruction, with subsequent hydronephrosis leading to potential kidney loss. Diagnosis is elusive and relies heavily on clinical suspicion as endometriosis can occur with both minimal and extensive disease. Management technique varies but the goal is to salvage renal function and disease burden.

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          Endometriosis.

          D. Michael Olive, Jana Schwartz (1993)
          Article 0 comments Cited 78 times – based on 0 reviews     Review now
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            Endometriosis: ancient disease, ancient treatments.

            Camran Nezhat, Farr R. Nezhat, Ceana Nezhat (2012)
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              Intrinsic form of ureteral endometriosis causing ureteral obstruction and partial loss of kidney function.

              Jens-Uwe Stolzenburg, Rebekah Horn, Maria Raseira (2003)
              Urinary tract endometriosis is rare and occurs in about 1% of all endometriotic lesions. About 30% of patients suffer from reduced kidney function at the time of diagnosis. A 49-year-old woman presented with a history of abdominal hysterectomy without adnexae because of uterus myomatosus without any signs of endometriosis 6 years before. Now she complained of dysuria and intermittent left loin pain. Sonography and retrograde pyelography demonstrated incomplete ureteric obstruction and scintigraphy revealed a partial loss of kidney function. Intraoperatively frozen section histology and final histologic examination demonstrated a tumor-like intrinsic form of ureteral endometriosis engulfing the left ureter. The patient was treated with uretero-ureterostomy and danazole for preventing recurrence. She is well 28 months postoperatively. In the extrinsic form (about 75% of all cases), ureteral endometriosis is localised to the adventitia or surrounding connective tissue of the ureter, whereas the intrinsic form of ureteral endometriosis is very rare and more often needs aggressive surgery.
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                Author and article information

                Contributors
                Musab Umair
                Journal
                Journal ID (nlm-ta): Urol Case Rep
                Journal ID (iso-abbrev): Urol Case Rep
                Title: Urology Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 2214-4420
                Publication date PMC-release: 10 August 2020
                Publication date Collection: November 2020
                Publication date (Electronic): 10 August 2020
                Volume: 33
                Electronic Location Identifier: 101374
                Affiliations
                [1]Armed Forces Institute of Urology, Rawalpindi, Pakistan
                Author notes
                [∗ ]Corresponding author. musabumair923@ 123456gmail.com
                Article
                Publisher Item ID: S2214-4420(20)30263-1 Publisher ID: 101374
                DOI: 10.1016/j.eucr.2020.101374
                PMC ID: 7574026
                PubMed ID: 33102073
                SO-VID: f3d8a90d-14f1-4c51-b0eb-6ce829ad468c
                Copyright © © 2020 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 25 June 2020
                Date revision received : 2 August 2020
                Date accepted : 5 August 2020
                Categories
                Subject: Oncology

                Keywords: endometriosis,renal tumors,pregnancy,inflammatory mass
                Data availability:
                Keywords: endometriosis, renal tumors, pregnancy, inflammatory mass

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