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  • Title: [Bilateral obstruction of the ureters as a complication of iliac aneurysms].
    Author: Korn S, Feller AM, Huth C, Hoffmeister HE.
    Journal: Thorac Cardiovasc Surg; 1987 Feb; 35(1):61-4. PubMed ID: 2436348.
    Abstract:
    A case of bilateral obstruction of the ureters secondary to iliac aneurysms is reported. While perianeurysmal fibrosis in so-called "inflammatory" aneurysms causes the obstruction in most cases, this is a report on a case of compression of both ureters by huge aneurysms without inflammatory reaction. Recurrent back pain of urinary type is the first symptom in 75% of the cases. Ultrasonography shows hydronephrosis and deviation of the ureters as well as the aneurysms. Intravenous pyelography, angiography and CT-scan are necessary to show the real size of the ureters and the aneurysm. Treatment of choice is resection of the aneurysm and replacement by a prosthesis. Ureterolysis may be necessary if the ureters are enveloped by perianeurysmal fibrosis.
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