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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)
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author
organization
publishing date
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
ISSN
0023-7205
language
English
LU publication?
yes
id
f7638c1a-3991-4e55-9a42-2a4ce21d6b43 (old id 1121619)
alternative location
http://ltarkiv.lakartidningen.se/artNo22871
date added to LUP
2008-06-23 13:01:51
date last changed
2016-04-16 05:28:00
@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},
  volume       = {98},
  year         = {2001},
}