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Abstract
A 27-year-old, gravida 0 para 0, female presented herself for an evaluation of recurrent urinary tract infections and severe dysmenorrhea. The ultrasound revealed a bilateral small but complex adnexal mass, suggesting endometriosis (Figure 1). Ca 125 was 88 U. Laparoscopic surgery was performed, showing evidence of infiltrative endometriosis and entrapment of the right ureter on the right pelvic sidewall (Figure 2); During the initial anatomical inspection a duplicated ureter was diagnosed (Figure 3).
Highlights
A 27-year-old, gravida 0 para 0, female presented herself for an evaluation of recurrent urinary tract infections and severe dysmenorrhea
Double collecting systems are thought to result from duplication of the ureteric bud, with the superior bud associated with the upper renal pole, and the inferior bud with the lower renal pole
Ectopic insertion of the ureter can result in obstruction or vesicoureteral reflux (VUR) [4]
Summary
A 27-year-old, gravida 0 para 0, female presented herself for an evaluation of recurrent urinary tract infections and severe dysmenorrhea. Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Universidad Autónoma de Chihuahua, Mexico The ultrasound revealed a bilateral small but complex adnexal mass, suggesting endometriosis (Figure 1). Laparoscopic surgery was performed, showing evidence of infiltrative endometriosis and entrapment of the right ureter on the right pelvic sidewall (Figure 2); During the initial anatomical inspection a duplicated ureter was diagnosed (Figure 3).
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