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Deep infiltrating ureteral endometriosis with catamenial hydroureteronephrosis: a case report

Overview of attention for article published in Journal of Medical Case Reports, December 2017
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Title
Deep infiltrating ureteral endometriosis with catamenial hydroureteronephrosis: a case report
Published in
Journal of Medical Case Reports, December 2017
DOI 10.1186/s13256-017-1518-6
Pubmed ID
Authors

Hyun Jung Lee, Yoon Soon Lee

Abstract

This aim of this case report is to raise awareness of ureteral endometriosis in women of reproductive age with hydronephrosis in the absence of urolithiasis to enable early diagnosis and prevent loss of renal function. A 44-year-old Asian woman presented with a 4-year history of cyclic right flank pain and right hydronephrosis during menstruation. Despite several evaluations by physicians, including gynecologists, the cause of her symptoms was not diagnosed. On transvaginal ultrasonography, the uterus was observed deviated to the right, with a nodular lesion at the right uterosacral ligament, and the right ovary was attached to the uterus with no apparent cystic lesion. Magnetic resonance imaging showed a mass in the right uterine wall and mild wall thickening with delayed enhancement of the right distal ureter. Right ureteral endometriosis was suspected. Diagnostic laparoscopy revealed narrowing of the distal right ureter between the right uterosacral ligament and the right ovary with adhesions caused by deep infiltrating endometriosis. The adhesion bands and infiltrating endometriosis around the right ureter were dissected. The nonspecific symptoms of ureteral endometriosis can result in incorrect diagnosis, with renal damage as a result of prolonged hydronephrosis. A high index of suspicion and use of imaging modalities enable earlier diagnosis and preservation of renal function.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 10 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 10 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 2 20%
Student > Master 2 20%
Other 2 20%
Student > Postgraduate 1 10%
Researcher 1 10%
Other 2 20%
Readers by discipline Count As %
Medicine and Dentistry 4 40%
Agricultural and Biological Sciences 3 30%
Biochemistry, Genetics and Molecular Biology 1 10%
Psychology 1 10%
Unspecified 1 10%
Other 0 0%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 March 2018.
All research outputs
#10,088,696
of 12,612,351 outputs
Outputs from Journal of Medical Case Reports
#1,139
of 2,079 outputs
Outputs of similar age
#205,063
of 273,647 outputs
Outputs of similar age from Journal of Medical Case Reports
#1
of 1 outputs
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