Lumbar Ureteral Stenosis due to Endometriosis: Our Experience and Review of the Literature
Endometriosis is a chronic gynaecological disorder characterized by the presence of endometrial tissue outside the uterus. The disease most often affects the ovaries, uterine ligaments, fallopian tubes, and cervical-vaginal region. Urinary tract involvement is rare, accounting for around 1%-2% of al...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2013/812475 |
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| author | Salvatore Butticè Antonio Simone Laganà Valeria Barresi Antonino Inferrera Giuseppe Mucciardi Antonina Di Benedetto Carmela Emanuela D'Amico Carlo Magno |
| author_facet | Salvatore Butticè Antonio Simone Laganà Valeria Barresi Antonino Inferrera Giuseppe Mucciardi Antonina Di Benedetto Carmela Emanuela D'Amico Carlo Magno |
| author_sort | Salvatore Butticè |
| collection | DOAJ |
| description | Endometriosis is a chronic gynaecological disorder characterized by the presence of endometrial tissue outside the uterus. The disease most often affects the ovaries, uterine ligaments, fallopian tubes, and cervical-vaginal region. Urinary tract involvement is rare, accounting for around 1%-2% of all cases, of which 84% are in the bladder. We report a case of isolated lumbar ureteral stenosis due to endometriosis in a 37-year-old patient. The patient came to our observation complaining from lumbar back pain and presented with severe fever. The urological examination found monolateral left positive sign of Giordano. Blood tests evidenced marked lymphocytosis and increased valued of C-reactive protein. Urologic ultrasound showed hydronephrosis of first degree in the left kidney and absence of images related to stones bilaterally. Uro-CT scan evidenced ureteral stenosis at the transition between the iliac and pelvic tracts. We addressed the patient to surgery, and performed laparoscopic excision of the paraureteral bulk, endoscopic mechanical ureteral dilation, and stenting. The histological examination evidenced glandular structures lined by simple epithelium and surrounded by stroma. Immunohistochemical test of the glandular epithelium showed positivity for estrogen and progesterone receptors and moreover stromal cells were positive for CD10. The finding suggested a very rare diagnosis of isolated lumbar ureteral endometriosis. |
| format | Article |
| id | doaj-art-476ba37e2694410488b4f1454a025a61 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-476ba37e2694410488b4f1454a025a612025-02-03T06:42:03ZengWileyCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/812475812475Lumbar Ureteral Stenosis due to Endometriosis: Our Experience and Review of the LiteratureSalvatore Butticè0Antonio Simone Laganà1Valeria Barresi2Antonino Inferrera3Giuseppe Mucciardi4Antonina Di Benedetto5Carmela Emanuela D'Amico6Carlo Magno7Unit of Urology, Department of Human Pathology, University of Messina, Via C. Valeria 1, 98125 Messina, ItalyUnit of Gynecology and Obstetrics, Department of Pediatric, Gynecological, Microbiological and Biomedical Sciences, University of Messina, Via C. Valeria 1, 98125 Messina, ItalyUnit of Pathological Anatomy, Department of Human Pathology, University of Messina, Via C. Valeria 1, 98125 Messina, ItalyUnit of Urology, Department of Human Pathology, University of Messina, Via C. Valeria 1, 98125 Messina, ItalyUnit of Urology, Department of Human Pathology, University of Messina, Via C. Valeria 1, 98125 Messina, ItalyUnit of Urology, Department of Human Pathology, University of Messina, Via C. Valeria 1, 98125 Messina, ItalyUnit of Urology, Department of Human Pathology, University of Messina, Via C. Valeria 1, 98125 Messina, ItalyUnit of Urology, Department of Human Pathology, University of Messina, Via C. Valeria 1, 98125 Messina, ItalyEndometriosis is a chronic gynaecological disorder characterized by the presence of endometrial tissue outside the uterus. The disease most often affects the ovaries, uterine ligaments, fallopian tubes, and cervical-vaginal region. Urinary tract involvement is rare, accounting for around 1%-2% of all cases, of which 84% are in the bladder. We report a case of isolated lumbar ureteral stenosis due to endometriosis in a 37-year-old patient. The patient came to our observation complaining from lumbar back pain and presented with severe fever. The urological examination found monolateral left positive sign of Giordano. Blood tests evidenced marked lymphocytosis and increased valued of C-reactive protein. Urologic ultrasound showed hydronephrosis of first degree in the left kidney and absence of images related to stones bilaterally. Uro-CT scan evidenced ureteral stenosis at the transition between the iliac and pelvic tracts. We addressed the patient to surgery, and performed laparoscopic excision of the paraureteral bulk, endoscopic mechanical ureteral dilation, and stenting. The histological examination evidenced glandular structures lined by simple epithelium and surrounded by stroma. Immunohistochemical test of the glandular epithelium showed positivity for estrogen and progesterone receptors and moreover stromal cells were positive for CD10. The finding suggested a very rare diagnosis of isolated lumbar ureteral endometriosis.http://dx.doi.org/10.1155/2013/812475 |
| spellingShingle | Salvatore Butticè Antonio Simone Laganà Valeria Barresi Antonino Inferrera Giuseppe Mucciardi Antonina Di Benedetto Carmela Emanuela D'Amico Carlo Magno Lumbar Ureteral Stenosis due to Endometriosis: Our Experience and Review of the Literature Case Reports in Urology |
| title | Lumbar Ureteral Stenosis due to Endometriosis: Our Experience and Review of the Literature |
| title_full | Lumbar Ureteral Stenosis due to Endometriosis: Our Experience and Review of the Literature |
| title_fullStr | Lumbar Ureteral Stenosis due to Endometriosis: Our Experience and Review of the Literature |
| title_full_unstemmed | Lumbar Ureteral Stenosis due to Endometriosis: Our Experience and Review of the Literature |
| title_short | Lumbar Ureteral Stenosis due to Endometriosis: Our Experience and Review of the Literature |
| title_sort | lumbar ureteral stenosis due to endometriosis our experience and review of the literature |
| url | http://dx.doi.org/10.1155/2013/812475 |
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