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Laparoscopic resection of deep endometriotic nodule for pelvic pain, left hydronephrosis and renal function impairment

A Wattiez, MD J Nassif, MD I Miranda-Mendoza, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Mar 2009;09(03). URL: http://websurg.com/doi/vd01en2536

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  • 2009-03-12
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Renal function impairment is a rare condition when associated with endometriosis. This video shows the laparoscopic resection of a deep endometriotic nodule for pelvic pain, left hydronephrosis and renal function impairment. The left kidney has an almost silent pattern on scintigraphy. The therapeutic strategy consists of freeing the obstacle caused by the endometriotic nodule, placement of a double J (JJ) catheter and monitoring for renal function in the postoperative follow-up. Further laparoscopic nephrectomy is to be discussed if the renal function is not improved.