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Urological manifestations of isolated iliac artery aneurysms
The Journal of Urology
|February 1, 1987
Insights
Iliac artery aneurysms can mimic urological conditions, leading to delayed diagnosis. Early recognition of these vascular issues is crucial for effective patient management.
Area of Science:
- Vascular Surgery
- Urology
- Diagnostic Imaging
Background:
- Iliac artery aneurysms are uncommon but serious vascular conditions.
- Urological symptoms can sometimes be the primary presentation of iliac artery aneurysms.
Observation:
- Three patients presented with urological complaints attributed to iliac artery aneurysms.
- Symptoms included palpable rectal mass, hematuria, and obstructive uropathy.
Findings:
- Iliac artery aneurysms can manifest with diverse urological symptoms.
- These symptoms may lead to urological consultation before vascular diagnosis.
Implications:
- Highlights the importance of considering vascular pathology in patients with unexplained urological symptoms.
- Suggests a need for interdisciplinary collaboration between urologists and vascular specialists.
- Emphasizes the role of imaging in diagnosing iliac artery aneurysms presenting with urological signs.
Abstract:
Three patients with iliac artery aneurysms were seen at our institution with the chief complaints owing to urological manifestations. Iliac artery aneurysms may present with a transrectally palpable mass, hematuria, bladder outlet obstruction, ureteral obstruction, retroperitoneal fibrosis or renal failure. Any such manifestations may bring the aneurysm to the attention of a urologist before diagnosis.