Spontaneous Extravasation from the Ureter Secondary to Aneurysm of the Abdominal Aorta

Schloss, Walter A.; Kaplan, Bernard J.

doi:10.1056/nejm195311122492004

Cited by 18 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Spontaneous rupture or extravasation of the ureter due to an iliac/aortic aneurysm is extremely rare; only seven such cases have been reported [3–9]. The majority of ureteral obstruction cases involve inflammatory aneurysms or retroperitoneal fibrosis associated with perianeurysmal fibrosis that ultimately results in the structural compromise of the urinary tract [10, 11].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous ureteral rupture caused by iliac aneurysm: a case report

et al. 2018

View full text Add to dashboard Cite

BackgroundRupture of the ureter with extravasation resulting from an iliac aneurysm is extremely rare. Herein, we report a case of ureteric rupture with urinary extravasation secondary to an iliac aneurysm.Case presentationAn 80-year-old man was admitted to our hospital for sudden onset of severe abdominal pain. Contrast-enhanced computed tomography demonstrated a large left internal iliac aneurysm (6.5 cm in diameter) and a ureteric rupture with leakage of contrast media from the left ureter, indicating a spontaneous ureteral rupture. The patient was treated with placement of a ureteral double-J stent under endoscopic and X-ray fluoroscopic guidance and endovascular aortic repair. His postoperative course was uneventful and he was discharged on postoperative day 20. A computed tomography scan at 2 weeks after surgery showed no contrast extravasation from the ureter or end leak.ConclusionCombination treatment with ureteral and endovascular stenting is effective in avoiding aneurysmal rupture and the serious consequences of a ureteral rupture, which include a perinephric or retroperitoneal collection, abscess formation, subsequent urosepsis, and graft infection.

show abstract

Section: Discussionmentioning

confidence: 99%

Spontaneous ureteral rupture caused by iliac aneurysm: a case report

et al. 2018

View full text Add to dashboard Cite

show abstract

Abdominal aortic aneurysm: Perianeurysmal fibrosis and ureteric obstruction and deviation

Darke

Glass

Eadie

1977

Journal of British Surgery

View full text Add to dashboard Cite

Seven cases of ureteric obstruction and one case with bilateral medial ureteric deviation complicating inflammatory aneurysm of the aorta are reported. The value of routine preoperative pyelography in all patients with abdominal aortic aneurysm is emphasized. Diagnostic difficulties that may arise when these conditions coexist are discussed. Our experience suggests that these patients are best treated by both aneurysmectomy and ureterolysis and that long-term follow-up is advisable.

show abstract

The association of aorto-iliac aneurysms with ureteral obstruction

Allibone

Saxton

1980

Urol Radiol

View full text Add to dashboard Cite

Spontaneous Extravasation from the Ureter Secondary to Aneurysm of the Abdominal Aorta

Cited by 18 publications

References 4 publications

Spontaneous ureteral rupture caused by iliac aneurysm: a case report

Spontaneous ureteral rupture caused by iliac aneurysm: a case report

Abdominal aortic aneurysm: Perianeurysmal fibrosis and ureteric obstruction and deviation

The association of aorto-iliac aneurysms with ureteral obstruction

Contact Info

Product

Resources

About