Fallbeskrivning. Endometrios orsakade kolonileus, uretärobstruktion och hypertoni
Acosta, Stefan LU
; Leandersson, U
; Svensson, S E
and Johnsen, J
(2001)
In Läkartidningen
98(18).
p.2208-2212
- Abstract
- Laparoscopy and palpation offer only a rough estimate of the extent of endometriosis. Consequently, endometriosis involving the bowels and urinary tract is under-diagnosed. Bowel obstruction and retroperitoneal endometriosis with obstruction of the ureter are uncommon conditions, but awareness of them is important. Ureteric obstruction develops slowly from periureteral fibrosis and often results in an asymptomatic hydronephrosis, loss of renal function and hypertension. Although renography is the first line of choice in investigation of the upper urinary tract in cases of suspected ureteric obstruction, ultrasound of the kidneys may be useful in the hands of the experienced gynecologist as a screening tool at consultation. The rationale... (More)
- Laparoscopy and palpation offer only a rough estimate of the extent of endometriosis. Consequently, endometriosis involving the bowels and urinary tract is under-diagnosed. Bowel obstruction and retroperitoneal endometriosis with obstruction of the ureter are uncommon conditions, but awareness of them is important. Ureteric obstruction develops slowly from periureteral fibrosis and often results in an asymptomatic hydronephrosis, loss of renal function and hypertension. Although renography is the first line of choice in investigation of the upper urinary tract in cases of suspected ureteric obstruction, ultrasound of the kidneys may be useful in the hands of the experienced gynecologist as a screening tool at consultation. The rationale for this recommendation is that ureteric obstruction and hydronephrosis often occur simultaneously. We present a case with bowel obstruction mimicking sigmoid carcinoma, ureteric obstruction and hypertension, caused by endometriosis, where the diagnostic difficulties are illustrated. Collaboration between gynecologist and urologist is essential in selected cases of endometriosis. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1121619
- author
- Acosta, Stefan
LU
; Leandersson, U
; Svensson, S E
and Johnsen, J
- organization
- publishing date
- 2001
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Läkartidningen
- volume
- 98
- issue
- 18
- pages
- 2208 - 2212
- publisher
- Swedish Medical Association
- external identifiers
-
- pmid:11402601
- scopus:0035795816
- ISSN
- 0023-7205
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Emergency medicine/Medicine/Surgery (013240200)
- id
- f7638c1a-3991-4e55-9a42-2a4ce21d6b43 (old id 1121619)
- alternative location
- http://ltarkiv.lakartidningen.se/artNo22871
- date added to LUP
- 2016-04-01 17:09:55
- date last changed
- 2022-03-22 23:49:52
@article{f7638c1a-3991-4e55-9a42-2a4ce21d6b43,
abstract = {{Laparoscopy and palpation offer only a rough estimate of the extent of endometriosis. Consequently, endometriosis involving the bowels and urinary tract is under-diagnosed. Bowel obstruction and retroperitoneal endometriosis with obstruction of the ureter are uncommon conditions, but awareness of them is important. Ureteric obstruction develops slowly from periureteral fibrosis and often results in an asymptomatic hydronephrosis, loss of renal function and hypertension. Although renography is the first line of choice in investigation of the upper urinary tract in cases of suspected ureteric obstruction, ultrasound of the kidneys may be useful in the hands of the experienced gynecologist as a screening tool at consultation. The rationale for this recommendation is that ureteric obstruction and hydronephrosis often occur simultaneously. We present a case with bowel obstruction mimicking sigmoid carcinoma, ureteric obstruction and hypertension, caused by endometriosis, where the diagnostic difficulties are illustrated. Collaboration between gynecologist and urologist is essential in selected cases of endometriosis.}},
author = {{Acosta, Stefan and Leandersson, U and Svensson, S E and Johnsen, J}},
issn = {{0023-7205}},
language = {{eng}},
number = {{18}},
pages = {{2208--2212}},
publisher = {{Swedish Medical Association}},
series = {{Läkartidningen}},
title = {{Fallbeskrivning. Endometrios orsakade kolonileus, uretärobstruktion och hypertoni}},
url = {{http://ltarkiv.lakartidningen.se/artNo22871}},
volume = {{98}},
year = {{2001}},
}