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Large iliac artery aneurysm masquerading as prostate cancer
B W Heaton1, O Rigby, R G Middleton
1Division of Urology, University of Utah School of Medicine, Salt Lake City.
The Journal of Urology
|March 1, 1994
Summary
Abdominal aortic and iliac artery aneurysms can mimic urological conditions. A 74-year-old man
Area of Science:
- Urology
- Vascular Surgery
- Diagnostic Imaging
Background:
- Vascular aneurysms, particularly abdominal aortic aneurysms (AAAs), can present with atypical symptoms.
- Urological symptoms may arise due to mass effect or displacement of pelvic organs by large aneurysms.
Observation:
- A 74-year-old male patient presented with abnormal prostate findings on digital rectal examination, prompting urological referral.
- Initial evaluation suggested a urological issue, necessitating further diagnostic workup.
Findings:
- Diagnostic imaging revealed large abdominal aortic and iliac artery aneurysms.
- These aneurysms caused significant displacement of the prostate and bladder, explaining the patient's initial presentation.
Implications:
- Highlights the importance of considering vascular pathology in patients with unexplained urological symptoms.
- Emphasizes the need for comprehensive diagnostic evaluation when urological and vascular findings overlap.
- Suggests that large aneurysms can cause secondary urological dysfunction through mechanical effects.