Hydronephrosis Secondary to an Ectopic Decidual Reaction in the Urinary Bladder.
Publication/Presentation Date
8-1-2017
Abstract
A 28-year-old pregnant woman at 19 weeks gestation presented with dysuria as well as lower abdominal and left flank pain. Imaging revealed left-sided hydronephrosis and a mass invading the posterior bladder wall. Management included placement of a left nephrostomy tube and transurethral resection of ~25% of the mass. Microscopy showed an ectopic decidual reaction within the muscularis propria. The patient improved symptomatically and continued prenatal care. Complete resolution of her ureteral obstruction was demonstrated during the postpartum period. Ectopic decidual reactions involving the urinary bladder are extremely rare, and ureteral obstruction secondary to this phenomenon has not yet been reported.
Volume
106
First Page
11
Last Page
11
ISSN
1527-9995
Published In/Presented At
Gn, M. Z., Malik, A., Hart, L. A., Mukherjee, A., & Reese, A. C. (2017). Hydronephrosis Secondary to an Ectopic Decidual Reaction in the Urinary Bladder. Urology, 106, e11–e12. https://doi.org/10.1016/j.urology.2017.05.002
Disciplines
Medicine and Health Sciences
PubMedID
28499763
Department(s)
Department of Pathology and Laboratory Medicine
Document Type
Article