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Inflammatory abdominal aortic aneurysm presenting as bilateral hydroureteronephrosis: A case report and review of literature

Andrea Benedetto Galosi, Carlo Grilli Cicilioni, Giulia Sbrollini, Andrea Angelini, Guevar Maselli, Luciano Carbonari
  • Andrea Benedetto Galosi
    UOC Urologia, Ospedale “Augusto Murri”, Fermo, Area Vasta n° 4, ASUR Marche, Italy | galosiab@yahoo.it
  • Carlo Grilli Cicilioni
    UOC Chirurgia Vascolare, Ospedali Riuniti, Ancona, Italy
  • Giulia Sbrollini
    UOC Urologia, Ospedale “Augusto Murri”, Fermo, Area Vasta n° 4, ASUR Marche, Italy
  • Andrea Angelini
    UOC Chirurgia Vascolare, Ospedali Riuniti, Ancona, Italy
  • Guevar Maselli
    UOC Urologia, Ospedale “Augusto Murri”, Fermo, Area Vasta n° 4, ASUR Marche, Italy
  • Luciano Carbonari
    UOC Chirurgia Vascolare, Ospedali Riuniti, Ancona, Italy

Abstract

We report a case of Inflammatory Abdominal Aortic Aneurysm (IAAA) producing bilateral hydro-ureteronephrosis. A 74-year-old patient presented to urologist office for bilateral hydronephrosis detected by kidney and bladder ultrasound (US). Patient reported lower urinary tract symptoms and inconstant and slight low back pain irradiated to inguinal region dating 3 weeks. Renal function, urine analysis and abdominal examination were normal. However the repeated ultrasound in the urologist office revealed abdominal aortic aneurism extended to iliac vessels. The patient was sent directly to vascular surgery unit where contrast computerized tomography (CT) and successful surgical repair were done. Final diagnosis was IAAA. The post-operative course was uneventful. Renal function was regular and the hydronephrosis reduced spontaneously under monitoring by CT and US. We review diagnosis and management of hydronephrosis that is sometimes linked to IAAA rather than standard AAA. Abdominal ultrasound is mandatory in any bilateral hydronephrosis and it could save lives.

Keywords

Hydronephrosis; Inflammatory abdominal aortic aneurysm; Ultrasound; Kidney; Diagnosis

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Submitted: 2015-01-23 16:15:22
Published: 2014-12-30 00:00:00
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Copyright (c) 2014 Andrea Benedetto Galosi, Carlo Grilli Cicilioni, Giulia Sbrollini, Andrea Angelini, Guevar Maselli, Luciano Carbonari

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