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Medical Science Monitor Basic Research


Endometriosis of the Urinary Bladder Causing a Right Hydronephrosis: A Case Report

Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)

Tuqa Adil Alsinan, Lana Alaa AlDahleh, Hajar Adel A. Alreefi, Skenah A. Albiabi, Yara O. Alsouss, Fatimah A. Alshayeb, Zahra H. Alshurafa, Alaa A. Moukhtar Hammad, Waleed M. Altaweel

Saudi Arabia College of Medicine , Alfaisal University, Riyadh, Saudi Arabia

Am J Case Rep 2019; 20:1360-1363

DOI: 10.12659/AJCR.917445

Available online: 2019-09-14

Published: 2019-09-14


BACKGROUND: Endometriosis is a chronic and benign condition in which endometrial glands and stroma are present outside the uterine cavity. The pathogenesis of endometriosis is not fully understood; however, several mechanisms have been hypothesized. Endometriosis is a common clinical presentation in gynecology, but affecting the urinary tract is a rare phenomenon, occurring in 0.3-12% of cases. In more severe forms, the initial presentation may be hydronephrosis or infertility.
CASE REPORT: We describe the case of a 25-year-old Saudi woman who presented with obstructive urinary tract symptoms and was diagnosed with urinary bladder endometriosis complicated with a right hydronephrosis. After thorough investigations and workups, the management was taken on by a multidisciplinary team approach.
CONCLUSIONS: This case report shows that hormonal therapy management resulted in a satisfactory outcome contrary to the surgical resection approach that is discussed in many articles.

Keywords: Contraceptives, Oral, Hormonal, Endometriosis, Hydronephrosis, Uterine Diseases