Abstract
Endometriosis is an uncommon cause of ureteric obstruction. When it occurs, unilateral involvement predominates. We report a case characterized by the unusual presentation of acute hypertensive retinopathy and renal failure. The patient was treated surgically by ureterolysis with omental wrapping, total hysterectomy and salpingo-oophorectomy. Nephrectomy was not performed on the non-functioning renal unit as the obstruction had been relieved. Patients who have previously been treated with conservative surgery for pelvic endometriosis are at risk of recurrent symptomatic disease, and require long-term follow-up with particular consideration being given to monitoring of the upper tracts by renal ultrasound.
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