Caval and ureteral obstruction secondary to an inflammatory abdominal aortic aneurysm.
Inflammatory abdominal aortic aneurysms (IAAA) represent 3% to 10% of all abdominal aortic aneurysms. Obstructive uropathy is a well-described feature of IAAAs, but venous complications are unusual secondary to IAAA. The authors report a patient presenting with acute renal failure and deep venous thrombosis secondary to an IAAA. We believe this represents the first case of an IAAA manifesting as combined inferior vena cava compression and associated obstructive uropathy. Successful operative repair was performed. With resolution of the retroperitoneal inflammation, long-term follow-up revealed spontaneous release of both ureteral and caval compression.
Kashyap
Vikram S
VS
Division of Vascular Surgery, Wilford Hall Medical Center, 2200 Bergquist Drive, Suite 1, Lackland Air Force Base, TX 78236-5300, USA. vikram.kashyap@lackland.af.mil
Fang
Raymond
R
Fitzpatrick
Colleen M
CM
Hagino
Ryan T
RT
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications*; D001025:Aortitis / Q000150:complications*; D006801:Humans; D008297:Male; D014517:Ureteral Obstruction / Q000209:etiology*; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000209:etiology*