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Ureteral obstruction by aorto-iliac aneurysms--a common complication?
Scandinavian Journal of Thoracic and Cardiovascular Surgery
|January 1, 1979
Summary
Ureteral obstruction is a common complication of aorto-iliac aneurysms. Early detection through aortograms is crucial for managing these cases and preserving kidney function.
Area of Science:
- Vascular Surgery
- Urology
- Nephrology
Background:
- Aorto-iliac aneurysms can lead to serious complications.
- Ureteral obstruction is a recognized, though infrequently reported, complication.
Observation:
- Five cases of ureteral obstruction secondary to aorto-iliac aneurysms were identified over a 4-year period.
- During the same period, 50 aorto-iliac aneurysms were surgically resected.
Findings:
- Surgical management included aneurysm resection with graft replacement.
- Treatment for ureteral obstruction varied, involving nephrectomy, kidney autotransplantation with hypernephroma enucleation, or ureterolysis with intraperitoneal transposition.
- One patient developed uremia due to contralateral non-functioning kidney.
Implications:
- Ureteral obstruction is a significant complication of aorto-iliac aneurysms, necessitating careful pre-operative assessment.
- Late aortography to visualize ureteral involvement should be standard in evaluating patients with aortic aneurysms.
- Timely diagnosis and appropriate surgical intervention are key to preventing renal compromise.