| | Persistent bilateral ureteral obstruction secondary to endometriosis despite treatment with an aromatase inhibitorReceived 16 January 2008; received in revised form 14 March 2008; accepted 17 March 2008. published online 16 June 2008. ObjectiveTo present a case demonstrating lack of efficacy of an aromatase inhibitor in treating ureteral endometriosis. SettingA tertiary-care hospital. Patient(s)A 47-year-old woman with severe ureteral endometriosis. Intervention(s)Anastrozole 1 mg daily for 15 months. Main Outcome Measure(s)Renal function. Result(s)Despite medical management with anastrozole, our patient continued to have worsening renal function and subsequently required surgical intervention. Conclusion(s)Anastrozole was ineffective at preventing deterioration of renal function in this patient. a Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio b Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio  Correspondence to: Chi Chiung Grace Chen, M.D., Cleveland Clinic, 9500 Euclid Avenue, A81, Cleveland, Ohio 44195.
J.B. has nothing to disclose. C.C.G.C. has nothing to disclose. T.F. has nothing to disclose. No reprints will be available. PII: S0015-0282(08)00707-3 doi:10.1016/j.fertnstert.2008.03.040 © 2008 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. | |
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