Spontaneous peripelvic extravasation of urine due to an inflammatory aneurysm of the abdominal aorta.
A 71-year-old man presented complaining of severe left flank pain. A computed tomography scan of the abdomen disclosed a left peripelvic extravasation of urine and a 4.0-cm abdominal aortic aneurysm with a significant amount of perianeurysmal thickening and prominent left hydroureter. The patient was diagnosed as having an inflammatory aneurysm of the abdominal aorta (IAAA) with peripelvic extravasations of urine. We report the results of a patient with IAAA with ureteral obstruction successfully treated with steroid therapy and a ureteral stent.
Mori
Ken-ichi
K
Department of Urology, Nagasaki University School of Medicine, Nagasaki, Japan. moriyuuta@hotmail.com
Koga
Shigehiko
S
Noguchi
Mitsuru
M
Kanetake
Hiroshi
H
Suda
Hisao
H
Yamashita
Shuji
S
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000150:complications*; D001025:Aortitis / Q000150:complications*; D006801:Humans; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D015607:Stents; D014517:Ureteral Obstruction / Q000209:etiology* / Q000628:therapy; D014556:Urine
D000893:Anti-Inflammatory Agents; D011239:Prednisolone