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14 September 2019 : Case report  Saudi Arabia

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 Alsinan1ABCDEFG*, Lana Alaa AlDahleh1ABDF, Hajar Adel A. Alreefi1ABDEF, Skenah A. Albiabi1ABD, Yara O. Alsouss1AF, Fatimah A. Alshayeb1AF, Zahra H. Alshurafa1ABF, Alaa A. Moukhtar Hammad2ADE, Waleed M. Altaweel2ADE

DOI: 10.12659/AJCR.917445

Am J Case Rep 2019; 20:1360-1363

Abstract

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, Urinary Bladder Diseases

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923