tailieunhanh - Báo cáo y học: "Silent onset of postmenopausal endometriosis in a woman with renal failure in hormone replacement therapy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Silent onset of postmenopausal endometriosis in a woman with renal failure in hormone replacement therapy: a case report. | Indraccolo and Barbieri Journal of Medical Case Reports 2010 4 248 http content 4 1 248 jAl JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Silent onset of postmenopausal endometriosis in a woman with renal failure in hormone replacement therapy a case report Ugo Indraccolo1 2 3 Fabrizio Barbieri 1 4 Abstract Introduction Postmenopausal endometriosis is a rare form of a common disease since the absence of estrogenic hormone production should halt disease progression. Case presentation We present the case of a 54-year-old Italian Caucasian woman in surgical menopause with a history of ovarian endometriosis who underwent voluntary hormone replacement therapy for seven years. She developed postrenal renal failure due to bilateral compression of the pelvic ureteral tract caused by two large deeply infiltrating endometriotic nodules with no pelvic pain. She underwent operative laparoscopy with adhesiolysis of enteroenteric adhesions and excision of the endometriotic nodules encompassing the juxtavesical tract of the ureters without obtaining improvement of renal failure. Conclusion Postmenopausal endometriosis can manifest itself in an unpredictable and potentially very serious manner. It is therefore important to carefully evaluate the risks and benefits of administering hormone replacement therapy to patients with previous endometriosis. Introduction Postmenopausal endometriosis is a rare form of a common disease given that the absence of estrogenic hormone production should halt disease progression 1 . Oxholm et al 2 reported that two to five percent of endometriosis is diagnosed after menopause. It has been reported that endometriosis may develop essentially in women undergoing hormone replacement therapy 2 with some exceptions 3 indicating the possibility that in some cases endometriosis may be completely independent of gonadic estrogens. Whether postmenopausal endometriosis is due to exogenous estrogens or presumably .

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