Rupture of an aortic anastomotic aneurysm into a ureter.
A case of rupture of a false aneurysm of the distal aorta into the left ureter is reported. The patient presented with purulent hydronephrosis and hematuria. A left aorto-femoral graft had been inserted 3 years earlier, which became infected and was then removed. After 2 years a false distal aortic aneurysm developed, and in the last 6 months recurrent episodes of hematuria have occurred. An aorto-ureteric fistula was confirmed at surgery, and a left nephrostomy was performed with proximal and distal ligation of the ureter and then aneurysmectomy followed by aorto-bifemoral bypass.
D001012:Aorta, Abdominal; D017544:Aortic Aneurysm, Abdominal / Q000150:complications*; D001018:Aortic Diseases / Q000150:complications; D001019:Aortic Rupture / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014515:Ureteral Diseases / Q000150:complications*; D014548:Urinary Fistula / Q000150:complications*; D016157:Vascular Fistula / Q000150:complications*