title: Inflammatory abdominal aortic aneurysm presenting as bilateral hydroureteronephrosis: a case report and review of literature.
abstract: We report a case of Inflammatory Abdominal Aortic Aneurysm (IAAA) producing bilateral hydro-ureteronephrosis. A 74-year-old patient presented to urologist office for bilateral hydronephrosis detected by kidney and bladder ultrasound (US). Patient reported lower urinary tract symptoms and inconstant and slight low back pain irradiated to inguinal region dating 3 weeks. Renal function, urine analysis and abdominal examination were normal. However the repeated ultrasound in the urologist office revealed abdominal aortic aneurism extended to iliac vessels. The patient was sent directly to vascular surgery unit where contrast computerized tomography (CT) and successful surgical repair were done. Final diagnosis was IAAA. The post-operative course was uneventful. Renal function was regular and the hydronephrosis reduced spontaneously under monitoring by CT and US. We review diagnosis and management of hydronephrosis that is sometimes linked to IAAA rather than standard AAA. Abdominal ultrasound is mandatory in any bilateral hydronephrosis and it could save lives.
authors: UOC Urologia, Ospedale "Augusto Murri", Fermo, Area Vasta n° 4, ASUR Marche. galosiab@yahoo.it.
authors: Andrea Benedetto
authors: AB
authors: Galosi
authors: Carlo
authors: C
authors: Grilli Cicilioni
authors: Giulia
authors: G
authors: Sbrollini
authors: Andrea
authors: A
authors: Angelini
authors: Guevar
authors: G
authors: Maselli
authors: Luciano
authors: L
authors: Carbonari
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000175:diagnosis*; D001025:Aortitis / Q000150:complications*; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology*; D014515:Ureteral Diseases / Q000209:etiology*; D055815:Young Adult