Iliac artery aneurysm: a common cause of ureteral obstruction.
Iliac artery aneurysms may cause ureteral obstruction. Six cases are reported. The major symptom is renal colic but a palpable aneurysm and a bruit may be found preoperatively and urinalysis may reveal microhematuria. On x-ray the ureter may be deviated medially, anteriorly or laterally. The ureter is bound down in a dense, desmoplastic reaction. All of our patients were treated by ureterolysis, with resection and grafting of the aneurysm in 4 of the 6.
D000368:Aged; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003085:Colic / Q000209:etiology; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010173:Palpation; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery