Bleeding Ureter: Endometriosis Mascarading as a Ureteral Malignancy - A Case Report

Sm, Babu; Puvvada, Sandeep; Amey, Pathade; Nagaraj, H.K.

doi:10.7860/jcdr/2014/10253.4964

Cited by 1 publication

(1 citation statement)

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“…A French study shows that if the ureter is surrounded 360° by the lesion, intrinsic involvement is confirmed in over 80% of cases, whereas if it is surrounded less than 180°, intrinsic disease is confirmed in less than 10% of cases [ 87 ]. Conversely, the identification of a soft-tissue mass within the ureter affirms intrinsic involvement in endometriosis, but may be difficult to differentiate from a urothelial lesion [ 91 ].…”

Section: Urinary Complicationsmentioning

confidence: 99%

Acute abdominal pain in women of reproductive age: keys to suggest a complication of endometriosis

et al. 2023

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Although endometriosis is a common gynecological condition in women of reproductive age, a complication of endometriosis is rarely considered as the differential diagnosis of acute abdominal pain in that context. However, acute events in women with endometriosis can represent life-threatening conditions, which require emergent treatment and often surgical management. Mass effect of endometriotic implants can give rise to obstructive complications, specifically occurring in the bowel or in the urinary tract, while inflammatory mediators released by ectopic endometrial tissue can lead to inflammation of the surrounding tissues or to superinfection of the endometriotic implants. Magnetic resonance imaging is the best imaging modality to reach the diagnosis of endometriosis, but an accurate diagnosis is possible on computed tomography, especially in the presence of stellar, mildly enhanced, infiltrative lesions in suggestive areas. The aim of this pictorial review is to provide an image-based overview of key findings for the diagnosis of acute abdominal complications of endometriosis. Graphical Abstract

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Section: Urinary Complicationsmentioning

confidence: 99%