<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Introduction:</bold> In this report, we present a rare case of aortic aneurysm with associated left ureter obstruction and consequent hydronephrosis.<bold>Case presentation:</bold> A 62-year-old man was admitted for epigastric and periumbilical pain, extended in the spine, and anuria. As for associated diseases, he presented arterial hypertension stage II/III, chronic ischemic cardiomyopathy, acidosis, hyperpotassemia, spondylosis with radiculopathy, acute renal failure, renal lithiasis, and eating difficulties. After performing a CT scan, the patient was diagnosed with giant abdominal infrarenal aortic aneurysm with ureter compression, and retroperitoneal rupture with common and internal iliac arteries occlusion. We performed a xifo-pubian laparotomy with endoaneurysmorrhaphy and aortoiliac bilateral bypass using silver Dacron vascular prosthesis (16 × 8 mm in diameter). Douglas drainage was necessary, ending with laparoraphy. The patient presented a favorable postoperative evolution.<bold>Conclusion:</bold> Open surgery remains the gold standard method of treatment for large aortic aneurysms, given the inability of endovascular procedures to solve problems caused by compression.</abstract>

Introduction: In this report, we present a rare case of aortic aneurysm with associated left ureter obstruction and consequent hydronephrosis.Case presentation: A 62-year-old man was admitted for epigastric and periumbilical pain, extended in the spine, and anuria. As for associated diseases, he presented arterial hypertension stage II/III, chronic ischemic cardiomyopathy, acidosis, hyperpotassemia, spondylosis with radiculopathy, acute renal failure, renal lithiasis, and eating difficulties. After performing a CT scan, the patient was diagnosed with giant abdominal infrarenal aortic aneurysm with ureter compression, and retroperitoneal rupture with common and internal iliac arteries occlusion. We performed a xifo-pubian laparotomy with endoaneurysmorrhaphy and aortoiliac bilateral bypass using silver Dacron vascular prosthesis (16 × 8 mm in diameter). Douglas drainage was necessary, ending with laparoraphy. The patient presented a favorable postoperative evolution.Conclusion: Open surgery remains the gold standard method of treatment for large aortic aneurysms, given the inability of endovascular procedures to solve problems caused by compression.

A Rare Case of Abdominal Aortic Aneurysm with Ureteral Compression

Department of Pathology, Emergency County Clinical Hospital

“George Emil Palade” University of Medicine, Pharmacy, Science and Technology

Journal of Interdisciplinary Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"A Rare Case of Abdominal Aortic Aneurysm with Ureteral Compression"}

Introduction: In this report, we present a rare case of aortic aneurysm with associated left ureter obstruction and consequent hydronephrosis.Case...

A Rare Case of Abdominal Aortic Aneurysm with Ureteral Compression

Online veröffentlicht: 14. Okt. 2021

Seitenbereich: 171 - 173

Eingereicht: 12. Mai 2021

Akzeptiert: 23. Mai 2021

DOI: https://doi.org/10.2478/jim-2021-0020

Schlüsselwörter
laparotomy, ureteral compression, Douglas drainage, laparoraphy, abdominal aortic aneurysm

© 2021 Vasile Adrian Muresan et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

A Rare Case of Abdominal Aortic Aneurysm with Ureteral Compression

Online veröffentlicht: 14. Okt. 2021

Seitenbereich: 171 - 173

Eingereicht: 12. Mai 2021

Akzeptiert: 23. Mai 2021

DOI: https://doi.org/10.2478/jim-2021-0020

Schlüsselwörterlaparotomy, ureteral compression, Douglas drainage, laparoraphy, abdominal aortic aneurysm

© 2021 Vasile Adrian Muresan et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Schlüsselwörter
laparotomy, ureteral compression, Douglas drainage, laparoraphy, abdominal aortic aneurysm