Obstruction urétérale d’origine endométriosique
Olivier Fracheta, S. Mallicka b✉, F. Comozc, Pierre Rousselotc, Henri Bensadouna b
- aService d'Urologie, CHU, Côte de Nacre, 14033 Caen Cedex
- bService d’Urologie, CHU, Côte de Nacre, 14033 Caen Cedex
- cService d’Anatomie-Pathologique, CHU, Côte de Nacre, 14033 Caen Cedex
- ✉Corresponding author
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Abstract
Endometriosis frequently affects women with genital activity and exceptionally involves the urinary tract, and the ureter in particular. From a case report of a female consulting for renal colic pain related to an intrinsic-type pelvic ureteral endometriosis, we report the difficulty in diagnosing this pseudotumoral obstruction and finding therapeutic options with a review of the literature. Ureteral endometriosis is marked by non-specific symptoms liable to delay preoperative diagnosis with a risk of deterioration of renal function due to the obstruction. Regarding the therapeutic approach, the surgical treatment associated or not with GNRH agonists seems best.
TL;DRD’un cas de patiente qui consultait pour des douleurs de colique nephretique en rapport avec une localisation ureterale pelvienne intrinseque d’endometriose, nous rapportons les difficultes diagnostiques de cette obstruction pseudo-tumorale et ses options therapeutiques avec un revue de the litterature. (Semantic Scholar)