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Marked Hydroureter Misdiagnosed as a Hydrosalpinx by Ultrasound
November 2003, Vol. 10, No. 4
The Journal of the American Association of Gynecologic Laparoscopists
Images in Endoscopy
Marked Hydroureter Misdiagnosed as a Hydrosalpinx by Ultrasound J. M. Kim, M.D., J. S. Hong, M.D., J. B. Yoon, M.D., J. H. Cho, M.D., and K. H. Joo, M.D.
FIGURE 2.
FIGURE 1.
(J Am Assoc Gynecol Laparosc 10(4):435, 2003)
A 45-year-old, gravida 4, para 2 woman with a history of two cesarean sections suffered from chronic, right, low abdominal discomfort. Endovaginal ultrasound revealed a right tubular cystic mass measuring 80 x 21.5 mm with clear echogenicity (Figure 1). Results of blood tests including blood urea nitrogen and creatinine were within normal limits. Diagnostic laparoscopy was performed due to suspicion of right hydrosalpinx. Both ovaries and tubes were of
normal appearance. A right retroperitoneal mass ran along the pelvic sidewall without pulsating or peristalsis (Figure 2). Laparoscopic dissection was performed and findings were compatible with hydroureter. Postoperative urology consultation and intravenous pyelonephrogram and abdominopelvic computerized tomographic scan revealed the final diagnosis to be marked hydroureter with nonfunctioning kidney.
From the Department of Obstetrics and Gynecology, Samsung Cheil Hospital and Women’s Healthcare Center, Sung-Kyunk wan University, School of Medicine, Seoul, Korea (all authors). Submitted April 8, 2003. Accepted for publication April 16, 2003. Reprinted from the JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, November 2003, Vol. 10 No. 4 © 2003 The American Association of Gynecologic Laparoscopists. All rights reserved. This work may not be reproduced in any form or by any means without written permission from the AAGL. This includes but is not limited to, the posting of electronic files on the Internet, transferring electronic files to other persons, distributing printed output, and photocopying. To order multiple reprints of an individual article or request authorization to make photocopies, please contact the AAGL.
435
The Journal of the American Association of Gynecologic Laparoscopists
Images in Endoscopy
Marked Hydroureter Misdiagnosed as a Hydrosalpinx by Ultrasound J. M. Kim, M.D., J. S. Hong, M.D., J. B. Yoon, M.D., J. H. Cho, M.D., and K. H. Joo, M.D.
FIGURE 2.
FIGURE 1.
(J Am Assoc Gynecol Laparosc 10(4):435, 2003)
A 45-year-old, gravida 4, para 2 woman with a history of two cesarean sections suffered from chronic, right, low abdominal discomfort. Endovaginal ultrasound revealed a right tubular cystic mass measuring 80 x 21.5 mm with clear echogenicity (Figure 1). Results of blood tests including blood urea nitrogen and creatinine were within normal limits. Diagnostic laparoscopy was performed due to suspicion of right hydrosalpinx. Both ovaries and tubes were of
normal appearance. A right retroperitoneal mass ran along the pelvic sidewall without pulsating or peristalsis (Figure 2). Laparoscopic dissection was performed and findings were compatible with hydroureter. Postoperative urology consultation and intravenous pyelonephrogram and abdominopelvic computerized tomographic scan revealed the final diagnosis to be marked hydroureter with nonfunctioning kidney.
From the Department of Obstetrics and Gynecology, Samsung Cheil Hospital and Women’s Healthcare Center, Sung-Kyunk wan University, School of Medicine, Seoul, Korea (all authors). Submitted April 8, 2003. Accepted for publication April 16, 2003. Reprinted from the JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, November 2003, Vol. 10 No. 4 © 2003 The American Association of Gynecologic Laparoscopists. All rights reserved. This work may not be reproduced in any form or by any means without written permission from the AAGL. This includes but is not limited to, the posting of electronic files on the Internet, transferring electronic files to other persons, distributing printed output, and photocopying. To order multiple reprints of an individual article or request authorization to make photocopies, please contact the AAGL.
435