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1例31岁妇女主述右髂窝和右耻骨区疼痛3个星期,无泌尿系或胃肠道症状,疼痛无周期性,月经规律。物理检查不能确诊,静脉尿路造影,B超和CT显示右肾盂,输尿管积水和右卵巢囊肿。开腹手术记录了包绕输尿管的盆腔子宫内膜异位症(EMs)病变,并发现盲肠后部病原学不明的肿块。施行了盲肠和末段回肠切除术、回肠结肠吻合术、狭窄处输尿管松解术、切开输尿管支架置入术及切除了双侧卵巢和子宫。术后恢复正常。组织学检查确诊为管腔梗阻造成多灶性EMs,导致阑尾囊肿,同时存在末端回肠EMs。术后接受了促性腺激素释放激素类似物的治疗。输尿管支架于4个月后取出。静脉尿路造影显示输尿管梗阻充分缓解。EMs是育龄妇女常见疾病。盆腔EMs很少侵犯泌尿道,而膀胱比输尿管更易受侵犯。仅1.2％的盆腔EMs侵犯泌尿道者很少造成输尿管梗阻。EMs也可侵犯阑尾,但EMs继
A 31-year-old woman reported pain in the right iliac fossa and right pubis for 3 weeks without urological or gastrointestinal symptoms. The pain was non-periodic and had regular menstruation. Physical examination can not be diagnosed, intravenous urography, B ultrasound and CT showed the right renal pelvis, ureteral hydronephrosis and right ovarian cysts. Laparotomy recorded pelvic endometriosis (EMs) lesions surrounding the ureter and found an uncleal mass behind the cecum. The cecum and distal ileal resection, ileocolic anastomosis, ureterolysis in the stenosis, incision ureteral stenting and excision of both ovaries and uterus were performed. After surgery returned to normal. Histological examination diagnosed as luminal obstruction caused by multifocal EMs, leading to appendix cysts, while the presence of terminal ileum EMs. After receiving gonadotropin-releasing hormone analogues treatment. Ureteral stent removed after 4 months. Intravenous urography showed adequate ureteral obstruction. EMs is a common disease of women of childbearing age. Pelvic EMs rarely invade the urinary tract, while the bladder is more susceptible to invasion than the ureter. Only 1.2% of pelvic EMs invading the urinary tract rarely cause ureteral obstruction. EMs can also invade the appendix, but EMs follow