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  • Title: Ureteral endometriosis with obstructive uropathy.
    Author: Hsieh MF, Wu IW, Tsai CJ, Huang SS, Chang LC, Wu MS.
    Journal: Intern Med; 2010; 49(6):573-6. PubMed ID: 20228593.
    Abstract:
    Endometriosis is a common disease, but ureteral involvement is rare. The symptoms and signs of ureteral endometriosis mimic those of ureteral malignancy. This case report describes a woman who presented with chronic back pain for 5 years. Imaging studies showed a right small contracted kidney with hydronephrosis and a bladder tumor. Endometriosis of the right lower ureter was ultimately diagnosed. The patient was healthy without recurrence during follow-up. It is difficult to differentiate between ureteral endometriosis and malignancy; in fact, renal loss may occur before diagnosis. Ureteral endometriosis should be considered for women with ureteral obstruction manifesting as chronic backache.
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