Unusual case of upper urinary tract obstruction: a case report

Abstract

Ureteric endometriosis is a very rare cause of upper urinary tract obstruction. Patients presented with left ureteric colic since 1 month, two episodes severe in intensity radiating from lt loin to groin. 2x2 cm hard growth in mid ureter with dense adhesions to peritoneum, lt fallopian tube and ovary, lt internal iliac vein and serosa of sigmoid colon, left distal ureterectomy, left salpingo-oopherectomy and psoas hitch ureteric reimplantation was performed and specimen was sent for HPE. Diagnosis of left ureteric endometriosis was made on histopathological evaluation report. This diagnosis should be considered in the D/D of ureteral obstruction in a young female especially on lt side. Carefully performed surgery in the form of ureteral excision and reimplantation preserves renal function.