요관에 발생한 자궁내막증 1예
A Case of Endometriosis of the Ureter
소속 상세정보
진송자/Song Ja Chin
함건주/정화순/김춘원/박승함/김기홍/Kun Ju Hahm/Wha Soon Chnng/Choon Won Kim/Seung Hahm Park/Ki Hong Kim
KMID : 0357919800140030062
Abstract
Endometriosis is a tumorous condition composed of endometrial tissue, either progressing
into the uterine wall from the endometrium itself(adenomyosis) or found outside the
uterus(endometriosis) usually in the pelvic organ, on the pelvic peritoneum, or in the
retroperitoneal tissue.
Endometriosis involving the ureter is an uncommon disease and has been reported
sporadically since Cullen(1917) first reported a case of bilateral involvement of the
ureter. In a recent review of literature, there have been below than 90 cases of
endometriosis of the ureter recorded.
Authors have experienced a case of endometriosis of the ureter with adenomyosis in a
49-year-old multiparous woman who complained of intermittent gross hematuria for one
year. On physical examination, a palpable mass was noted at pelvic portion. IVP and
RGP findings showed a hydronephrosis with ureteral stricture on distal portion of the
right ureter. Under the impression of the uterine myoma and right ureteral stricture,
total abdominal hysterectomy, right salpingo-oophorectomy and uretero-ureterostomy
were performed.
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