Obstructive ARF caused by an inflammatory abdominal aortic aneurysm.
Inflammatory abdominal aortic aneurysms are rare entities characterized by dense fibrosis typically enveloping the aortic wall and adjacent structures with distinctive clinical features that differentiate them from typical atherosclerotic aneurysms. The inflammatory process can involve the renal excretory pathways, causing ureteral obstruction in 20% of cases. The authors report 2 cases of complete obstructive anuria secondary to inflammatory aneurysms and discuss the most appropriate management for these situations of hydronephrosis. Surgical repair of the aneurysm usually leads to regression of the inflammatory reaction.
Sánchez
Rosa
R
Department of Nephrology, Segovia General Hospital, 12 de Octubre, University Hospital, Madrid, Spain. agarbi@mixmail.com
Arroyo
Agustín
A
Gesto
Ricardo
R
Fernández-Reyes
María J
MJ
Mon
Carmen
C
Alvarez-Ude
Fernando
F
D058186:Acute Kidney Injury / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003558:Cystoscopy; D006801:Humans; D007249:Inflammation / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014524:Urethral Obstruction / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014546:Urinary Catheterization