输尿管子宫内膜异位症及输尿管水肿一个年轻的29岁

输尿管子宫内膜异位症及输尿管水肿一个年轻的29岁
(L) Ureteral Endometriosis with Hydroureteronephrosis in a young 29 years old Pt.

29 years old nulliparous patient with h/o laparotomy for (R) ovarian endometrioma 2 years ago was referred because of sever pelvic pain, (L) flank pain, IVP revealed Hydro-Ureteronephrosis, Renal scan indicated functional loss of (L) kidney, clinical recto-vaginal exam revealed a large recto-vaginal nodule involving rectum and both parametrium. During operative laparoscopy ureteroscopy and insertion of JJ catheter was impossible but after (L) ureterolysis the task was performed successfully, ureteroscopy did not indicate mucosal invasion, TLH (L) S&O with bilateral parametrectomy and resection of R-Vaginal nodule was performed and segmental
Recal resection was postponed, to be performed in 3 month
29岁未生产过的H / O（R）卵巢子宫内膜异位2年前开腹手术的患者，因为被称为严重的盆腔疼痛，腰痛（L）中，IVP发现水电Ureteronephrosis，肾扫描显示（L）肾功能丧失，临床直肠阴道检查，发现有大量的直肠阴道结节涉及直肠和两个宫旁的。在手术腹腔镜输尿管镜和插入的JJ导管是不可能的，但后（L）输尿管松解术的任务是执行成功，输尿管镜没有表明粘膜入侵，TLH（L）小号＆Ø双边parametrectomy和切除ŕ，阴道结节是执行和节段性
RECAL切除被推迟，在3个月进行

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