Dysmenorrhea in Renal Obstruction (Intrinsic Ureteral Endometriosis)

Dysmenorrhea in Renal Obstruction (Intrinsic Ureteral Endometriosis)
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Title:Dysmenorrhea in Renal Obstruction (Intrinsic Ureteral Endometriosis)
Author/Abstract:

Robert Lee E. Pedragosa, MD and Kathleen G. Quezada, MD
Section of Urology, Department of Surgery, AFP Medical Center

Extrauterine endometriosis occurs in less than 1% of cases and rarely involves the urinary system.
Ureteral endometriosis is a rare disorder that can eventually lead to renal dysfunction/failure with an
incidence of <1%. Ureteral obstruction resulting in hydronephrosis is a rare manifestation of ureteric
endometriosis. It occurs as a consequence of intrinsic involvement of the ureter or from extrinsic
compression by a pelvic endometriosis. Presented is a 42-year-old adult female with left sided intrinsic
ureteral endometriosis presenting with left cyclical flank pain masked by dysmenorrhea.

Key words: Endometriosis, ureteral endometriosis, ureteral obstruction, obstructive uropathy

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