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Ureteral obstruction following aortobifemoral bypass: management by endoscopic balloon dilation
A S Ward1, N D Karanjia, A J Russell
1Department of Vascular Surgery, Basingstoke District Hospital, Hampshire, United Kingdom.
The Journal of Urology
|January 1, 1992
Insights
A patient experienced hydronephrosis (swelling of the kidney) due to compression from an aortofemoral bypass graft. Endoscopic balloon dilation successfully treated the condition, relieving the ureteral obstruction.
Area of Science:
- Urology
- Vascular Surgery
- Medical Devices
Background:
- Aortofemoral bypass surgery is a common procedure for treating peripheral artery disease.
- Postoperative complications can include ureteral obstruction due to anatomical changes.
- Hydronephrosis, a consequence of ureteral obstruction, requires timely diagnosis and management.
Observation:
- A 71-year-old male developed left hydronephrosis one year after undergoing aortofemoral bypass.
- The obstruction was caused by extrinsic compression of the left ureter.
- Compression resulted from the proximity of the bypass graft anteriorly and the native iliac artery posteriorly.
Findings:
- The hydronephrosis was diagnosed via imaging, revealing ureteral compression.
- Endoscopic transluminal balloon dilation was employed as a minimally invasive treatment.
- The procedure successfully resolved the extrinsic compression and the associated hydronephrosis.
Implications:
- This case highlights a rare but significant complication of aortofemoral bypass surgery.
- Endoscopic transluminal balloon dilation offers an effective treatment option for post-surgical ureteral compression.
- Minimally invasive techniques can provide successful outcomes for managing complex urological complications.
Abstract:
A 71-year-old man presented with left hydronephrosis 1 year after aortofemoral bypass. Hydronephrosis was due to extrinsic compression of the ureter between the graft anteriorly and the native iliac artery. Treatment by endoscopic transluminal balloon dilation resulted in complete resolution of the hydronephrosis.