A Case of Marked Hydroureter, Misdiagnosed as a Hydrosalpinx by Ultrasound.

Kim, Mi La; Ko, Yun Hee; Cho, Yeon Jean; Paek, Jun Gil; Woo, Hyuk Jun; Hong, Jun Sik; Cho, Jun Hyung; Joo, Kwan Young

Case Report

Korean Journal of Obstetrics & Gynecology 2004;47(2):388-393.
Published online February 1, 2004.

A Case of Marked Hydroureter, Misdiagnosed as a Hydrosalpinx by Ultrasound.

Mi La Kim, Yun Hee Ko, Yeon Jean Cho, Jun Gil Paek, Hyuk Jun Woo, Jun Sik Hong, Jun Hyung Cho, Kwan Young Joo

Department of Obstetrics and Gynecology, Samsung Cheil Hospital and Women's Healthcare Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.

Abstract

The retroperitoneal space of the posterior abdomen and the pelvic retroperitoneum contain the major neural, vascular and lymphatic supply to the pelvic viscera, the urinary system and colorectal system. A pain or mass in the pelvis may arise primarily from the reproductive organs, but it may just as easily arise from the retroperitoneal space, include the urinary tract and the gastrointestinal tract. Therefore, the gynecologic surgeon should be aware of the various conditions associated with retroperitoneal mass and the correct management of these disorders. Hydroureter may misdiagnose as a pelvic mass or retroperitoneal mass. The cause of hydroureter is mainly secondary obstruction such as malignancy, idiopathic retroperitoneal fibrosis and pelvic disease but primary obstructive megaureter should be considered. This report describes a case of marked hydroureter, misdiagnosed as a hydrosalpinx by ultrasound.

Key Words: Retroperitoneal space, Hydroureter