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Rare aetiology of obstructive kidney injury: Bilateral ureteral endometriosis

2017Working paper Restricted access
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dc.contributor.authorCorreia, Maria Inês
dc.contributor.authorVieira, Pedro
dc.contributor.authorGonçalves, Miguel
dc.contributor.authorDurães, José M
dc.contributor.authorSantos, Dina
dc.contributor.authorRosa, Nuno G
dc.contributor.authorSilva, Gil
dc.date.accessioned2019-12-06T12:44:28Z
dc.date.available2019-12-06T12:44:28Z
dc.date.issued2017
dc.description.abstractEndometriosis is highly prevalent in women at the reproductive age, ranging from 6-10%, though ureteral involvement is rare, only seen in 0.1% of the cases, but may lead to urinary tract obstruction with potential renal function loss. As endometriosis has a non-specific symptomology, diagnosis may be elusive, though it must be considered in order to prevent irreversible kidney injury and resultant morbidity. Here we present a 29-year-old Caucasian female with a past medical history of infertility and dysmenorrhoea who presented with a stage II acute kidney injury. On initial diagnostic approach, moderate bilateral ureterohydronephrosis was detected by ultrasound, assuming extrinsic compression, but no specific cause was recognizable. In order to diagnose the obstruction’s aetiology, Magnetic Resonance Imaging was used. This did not reveal an objective cause. Given the circumstances, workup ended in an explorative laparotomy, revealing a “frozen pelvis” due to endometriosis, confirmed histologically. Due to difficult ressecability, a conservative approach was taken through hormonal reatment and bilateral ureteral pigtail placement, given the necessity to salvage renal function and decrease disease burden.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPort J Nephrol Hypert 2017; 31(1): 47-49 • Advance Access publication 22 February 2017pt_PT
dc.identifier.issn0872-0169
dc.identifier.urihttp://hdl.handle.net/10400.26/30405
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.subjectDoença Renalpt_PT
dc.subjectbiópsia renalpt_PT
dc.subjectEndometriosispt_PT
dc.subjectUreteral Obstructionpt_PT
dc.subjectHydronephrosispt_PT
dc.subjectChronic Renal Insufficiencypt_PT
dc.subjectMadeira Islandpt_PT
dc.titleRare aetiology of obstructive kidney injury: Bilateral ureteral endometriosispt_PT
dc.typeworking paper
dspace.entity.typePublication
oaire.citation.endPage49pt_PT
oaire.citation.startPage47pt_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typeworkingPaperpt_PT

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