URETERAL OBSTRUCTION CAUSED BY ENDOMETRIOSIS

The diagnosis of ureteral obstruction caused by endometriosis can be d ifficult. We present a 51-year-old multiparous Japanese woman who had undergone right salpingo-oophorectomy at the age of 19 years. She unde rwent total hysterectomy, left salpingo-oophorectomy, and adhesiotomy of the right ureter after the diagnosis of myoma uteri and endometrios is was made. Microscopic examination of the surrounding resected tissu e confirmed the typical endometriotic origin. In addition to intraveno us and retrograde pyelography, computerized tomography was useful to e stablish the diagnosis of ureteral obstruction caused by an extrinsic mass of endometriotic tissue.