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Renal endometriosis

Sen-Wen Teng, Huann-Cheng Horng, Chi-Hong Ho, Ming-Shyen Yen, Hsiang-Tai Chao, Peng-Hui Wang
Endometriosis, defined by the presence of viable extrauterine endometrial glands and stroma, can grow or bleed cyclically, and possesses characteristics including a destructive, invasive, and metastatic nature. Since endometriosis may result in pelvic inflammation, adhesion, chronic pain, and infertility, and can progress to biologically malignant tumors, it is a long-term major health issue in women of reproductive age. In this review, we analyze the Taiwan domestic research addressing associations between endometriosis and other diseases...
November 2016: Journal of the Chinese Medical Association: JCMA
Z Jia, L Zhang, X S Li, L Q Zhou
OBJECTIVE: To discuss the therapy for ureteral endometriosis. METHODS: The clinical data of 25 cases of histopathologically confirmed ureteral endometriosis during 2001-2015 were retrospectively analyxed. RESULTS: In the 25 cases, all the patients took urinary ultrasound for examination before surgery, of whom 21 (84%) were examined by CT and 5 (20%) by MRI. Three (12%) cases underwent preoperative KUB and intravenous pyelogram (IVP) examination...
February 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
K D Suson, B Inouye, A Carl, J P Gearhart
INTRODUCTION: Cloacal exstrophy (CE) is the most severe manifestation of the epispadias-exstrophy spectrum. Previous studies have indicated an increased rate of renal anomalies in children with classic bladder exstrophy (CBE). Given the increased severity of the CE defect, it was hypothesized that there would be an even greater incidence among these children. OBJECTIVE: The primary objective was to characterize renal anatomy in CE patients. Two secondary objectives were to compare these renal anatomic findings in male and female patients, and female patients with and without Müllerian anomalies...
August 2016: Journal of Pediatric Urology
Ross J Mason, Abdulaziz Alamri, Kaela Gusenbauer, Anil Kapoor
Endometriosis is a common gynecological condition, but involvement of the urinary tract is rare. Ureteral endometriosis can present in a nonspecific fashion, and may mimic ureteral malignancy. This case report describes a 44-year-old woman who initially presented with chronic flank pain and was found to have left-sided renal dysfunction and a distal left ureteric mass. She was eventually diagnosed with ureteral endometriosis after undergoing nephroureterectomy for what was thought to be either a ureteral fibroepithelial polyp or transitional cell carcinoma...
March 2016: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
Maryam Eftekhar, Robabe Hosseinisadat, Ramesh Baradaran, Elham Naghshineh
BACKGROUND: Despite major advances in assisted reproductive techniques, the implantation rates remain relatively low. Some studies have demonstrated that intrauterine infusion of granulocyte colony stimulating factor (G-CSF) improves implantation in infertile women. OBJECTIVE: To assess the G-CSF effects on IVF outcomes in women with normal endometrial thickness. MATERIALS AND METHODS: In this randomized controlled clinical trial, 100 infertile women with normal endometrial thickness who were candidate for IVF were evaluated in two groups...
May 2016: International Journal of Reproductive Biomedicine (Yazd, Iran)
Bardia Moosavi, Najla Fasih, Vivek Virmani, Ania Kielar
Nephrolithiasis is the most common condition involving the ureters. However, various other entities can affect the ureters, albeit less frequently. Imaging plays a crucial role in diagnosis, management, and follow-up of ureteral pathology. In the past decade, computed tomography urography has replaced traditional methods of ureteral imaging due to its high spatial resolution, multiplanar imaging, and rapid acquisition time. More recently, magnetic resonance urography has also been explored in evaluating ureteral abnormalities...
July 2016: Clinical Imaging
Ülkü Gül, Ayşe Kaçar Bayram, Mustafa Kendirci, Nihal Hatipoğlu, Deniz Okdemir, Hakan Gümüş, Selim Kurtoğlu
Gonadotropin-releasing hormone analogues are common treatment option in central precocious puberty in childhood as well as in endometriosis, infertility, and prostate cancer in adults. Pseudotumor cerebri is a rare side effect observed in adults. We present the case of a girl with precocious puberty treated with triptorelin acetate who developed pseudotumor cerebri after the 4th dose. She had headaches, and her blood pressure was detected to be above the 99 percentile. There were no causes underlying of hypertension such as cardiac, renal, or endocrine...
September 1, 2016: Journal of Clinical Research in Pediatric Endocrinology
Vasantha Muthu Muthuppalaniappan, Kate S Wiles, Debashish Mukerjee, Sumith Abeygunasekara
INTRODUCTION: Endometriosis is the most common pelvic gynaecologic disorder affecting pre-menopausal women. However ureteral endometriosis (UE) especially intrinsic urinary tract endometriosis is a rare finding that is notorious for causing silent renal insult. The pathogenesis of endometriosis still remains a mystery but studies have suggested an association between endometriosis and systemic lupus erythematosus (SLE) suggesting an immunological aspect to endometriosis. There is very little recognition in the renal literature of the significance of UE leading to progressive kidney injury and the association with autoimmune conditions in particular SLE...
2016: Postgraduate Medicine
Henry Tran, Olga Arsovska, Ryan F Paterson, Ben H Chew
INTRODUCTION: Ureteral strictures are a significant cause of morbidity and mortality, resulting in potential kidney damage requiring several surgical procedures. Non-malignant causes include radiation, trauma from calculi impaction, pelvic surgery, or ureteroscopy (URS). We identified risk factors in our patients with ureteral strictures and the success of their treatment outcomes. METHODS: A retrospective chart review of 25 patients with 29 ureteral strictures was performed to determine the success of their treatment...
November 2015: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
Zhaorong Ding, Fang Lian
BACKGROUND: Endometriosis is a common gynecological disease defined as the presence of endometrioid tissue (glands and stroma) outside the uterus. About 30 to 40% patients with endometriosis are infertile. In traditional Chinese medical system, endometriosis associated infertility is mostly caused by kidney deficiency and blood stasis. The herb of reinforcing kidney and removing blood stasis is designed to treat the disease. MATERIAL AND METHODS: All the 80 up-to-standard patients were divided into two different groups exactly according to the random principle...
2015: International Journal of Clinical and Experimental Medicine
Chiu-Hsuan Cheng, Hann-Chorng Kuo, Borcherng Su
BACKGROUND: The presence of endometriosis in the kidney is extremely rare. We report a case of endometriosis in renal parenchyma incidentally found in a malfunctioning kidney removed because of xanthogranulomatous pyelonephritis. CASE PRESENTATION: A 53-year-old Chinese premenopausal woman presented with intermittent right flank pain for many years. Imaging studies revealed a contracted non-functioning right kidney and a perinephric abscess. The contracted kidney was considered to have resulted from chronic pyelonephritis...
2015: BMC Research Notes
Jeong In Choi, Jee Geun Yoo, Sa Jin Kim, Hae Nam Lee, Min Jeong Kim
Ureteral involvement by endometriosis is a rare and often silent disease but capable of producing significant morbidity and leading to hydronephrosis and to renal failure. Surgery is the treatment of choice to remove endometriotic lesions and relieve ureteral obstruction if the kidney is still functional or a nephrectomy is performed if there is a complete loss of renal function. We report a case of acute renal failure induced ureteral endometriosis managed with laparoscopic unilateral nephrectomy and endometrioma cystectomy...
2015: Case Reports in Obstetrics and Gynecology
Mariam Hult, Anette Pedersen Pilt, Thomas Peter Norus
Ureteral endometriosis is a rare variant of an otherwise common condition, which is primarily seen among premenopausal women. The symptoms and the clinical findings include silent loss of kidney function, gross haematuria, abdominal pain, hypertension and tumour suspicion. We present a rare case of intrinsic ureteral endometriosis resulting in a life-threatening infection and loss of a kidney. Involvement of gynaecologists for early diagnosis and medical treatment in combination with surgical intervention could be of importance in order to prevent the serious consequences as described in this case...
May 18, 2015: Ugeskrift for Laeger
João Lopes Dias, Renata Jogo
Herlyn-Werner-Wunderlich syndrome (HWWS) is a rare congenital anomaly of the female urogenital tract that associates Müllerian duct anomalies with mesonephric duct anomalies. The triad of uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis characterizes this syndrome. Patients generally present with non-specific symptoms after menarche. Pelvic pain, dysmenorrhea, and palpable mass due to hematocolpos or hematometra are the most common findings. Pyohematocolpos and pyosalpinx may appear as acute complications, while endometriosis and pelvic adhesions constitute potential long-term complications...
October 2015: Abdominal Imaging
Jie Yang, Ri-jin Song, Chen Xu, Shi-qing Zhang, Wei Zhang
Renal endometriosis is a rare disease for which the mechanisms of pathogenesis are still unclear. As such, early diagnosis and an appropriate treatment are often delayed because of the tendency to be misdiagnosed as a renal tumor. In October 2013 we performed a radical nephrectomy for a 37-year-old woman with renal endometriosis who was preoperatively misdiagnosed as having a right renal tumor. Avoiding the misdiagnosis of renal endometriosis requires a detailed case history, especially regarding whether the cyclicity of lumbodorsal pain and hematuria correlates with patients' menstrual cycles...
February 2015: International Surgery
Ji-Ming Chen, Hong-Yan Gao, Yi Ding, Xia Yuan, Qing Wang, Qin Li, Guo-Hua Jiang
BACKGROUND: As a Chinese Traditional Medicine product, Kuntai capsule could improve the peri-menopausal symptoms in postmenopausal women. But it is still not clear whether Kuntai capsule has a good effect on alleviating peri-menopausal symptoms induced by gonadotropin releasing hormone agonist (GnRH-a) treatment. The purpose of this study was to investigate the clinical effectiveness and safety of Kuntai capsule, on peri-menopausal symptoms in endometriosis (EMS) patients, with postoperative GnRH-a treatment...
February 20, 2015: Chinese Medical Journal
Erkan Efe, Murat Bakacak, Salih Serin, Eyüp Kolus, Onder Ercan, Sefa Resim
The incidence of endometriosis cases involving the urinary system has recently increased, and the bladder is a specific zone where endometriosis is most commonly seen in the urinary system. In the case presented here, a patient presented to the emergency department with the complaint of side pain and was examined and diagnosed with severe hydronephrosis and bladder endometriosis was determined in the etiology. After the patient was pathologically diagnosed, Levonorgestrel-Releasing Intrauterine System (LNG-IUS) was administered to the uterine cavity...
2014: Case Reports in Urology
Mert Ali Karadag, Turgut Aydin, Ozge Idem Karadag, Huseyin Aksoy, Aslan Demir, Kursat Cecen, Umit Yener Tekdogan, Urfettin Huseyinoglu, Fatih Altunrende
INTRODUCTION: Endometriosis can be defined as the presence of endometrial glandular and stromal tissue outside the uterus. Affected sites of endometriosis can even be the urinary tract. Here, we present the case of a 30-year-old woman with right ureteral endometriosis. This case was important due to the unusual localization and no signs of the disease except for hydroureteronephrosis. CASE PRESENTATION: A 30-year-old Caucasian woman with para 2 was admitted to our department for right side flank pain, dysuria and suprapubic pain...
December 11, 2014: Journal of Medical Case Reports
S M L Prakash Babu, Puvvada Sandeep, Amey Pathade, H K Nagaraj
Ureteral endometriosis is a serious localization of disease burden that can lead to urinary tract obstruction, with subsequent hydroureter, hydronephrosis, and potential kidney loss. As the diagnosis is elusive, a heavy clinical suspicion is necessary. Surgical technique to treatment varies, but the goal is to salvage renal function and decrease disease burden. Here, we are presenting a rare case of bleeding ureter in a young lady who had endometriosis of the ureter.
October 2014: Journal of Clinical and Diagnostic Research: JCDR
Marta Costa, Ana Bento, Hamilton Batista, Fernando Oliveira
Appendicular intussusception is an uncommon entity, with a reported incidence of 0.01%. The diagnosis is difficult and often only performed at the time of surgery. Intussusception has multiple causes including tumours, foreign bodies and polyps. The definitive treatment is surgical, and the extent of resection is determined by the underlying pathology and degree of invagination. Endometriosis is a rare cause of appendicular intussusception, with 194 cases described in the English literature. We report a case of a 42-year-old woman who presented with chronic abdominal pain in the lower right quadrant...
December 4, 2014: BMJ Case Reports
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