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  • Title: Endovascular repair of an inflammatory abdominal aortic aneurysm causing bilateral ureteric obstruction.
    Author: McKenna AJ, O'Donnell ME, Collins A, Harkin DW.
    Journal: Ir J Med Sci; 2012 Sep; 181(3):415-8. PubMed ID: 20835894.
    Abstract:
    BACKGROUND: Conventional open repair of inflammatory abdominal aortic aneurysms (IAAA) remains challenging through the presence of extensive peri-aortic inflammation and fibrosis which makes dissection and vascular control difficult with a risk of inadvertent injury to adjacent visceral structures such as the ureters, duodenum, inferior vena cava, left renal vein and sigmoid colon. METHODS: We describe a case of a 69-year-old gentleman who presented with acute renal failure due to bilateral ureteric obstruction in association with an IAAA and discuss the various management options available. CONCLUSION: IAAAs and the associated peri-aortic inflammation and fibrosis can be successfully treated using endovascular abdominal aortic aneurysm repair with concurrent ureteric stenting.
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