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Case Reports
. 2009;2(1):58-61.
doi: 10.3400/avd.AVDcr07016. Epub 2009 Apr 15.

Successful surgical treatment for rupture of an iliac artery aneurysm into a ureter

Yosuke Takahashi  1 , Hidekazu Hirai, Yasuyuki Sasaki, Toshihiko Shibata, Yasuyuki Bito, Shigefumi Suehiro
Affiliations
Case Reports

Successful surgical treatment for rupture of an iliac artery aneurysm into a ureter

Yosuke Takahashi et al. Ann Vasc Dis. 2009.

Abstract

We describe a case of successful surgical treatment for spontaneous rupture of an iliac artery aneurysm into a ureter. An 80-year-old man was admitted with massive hematuria. Immediate enhanced abdominal computed tomography scan and cystoscopy were suspicious for a uretero-arterial fistula caused by aneurysmal rupture. Emergent surgical intervention was performed because of the high mortality rate of this condition. Intraoperative findings revealed the fistula between the true aneurysm of the right common iliac artery and the ureter. Repair of the aneurysm and ligation of the ureter was performed, with an uneventful postoperative course.

Keywords: iliac aneurysm; spontaneous rupture; uretero-arterial fistula.

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Figures

Fig. 1
Fig. 1
A: Aortography shows a right common iliac artery aneurysm, left femoral artery aneurysm, and patent femorofemoral bypass graft. B: Enhanced computed tomography scan demonstrates a 5 × 5 cm right common iliac artery aneurysm and right ureter adhered to the aneurysm (arrow).
Fig. 2
Fig. 2
Intraoperative findings showing the fistula (arrow) between the common iliac artery aneurysm and the ureter (arrowhead), surrounded by a well-organized thrombus.
Fig. 3
Fig. 3
Schema of post-operative reconstruction of aorta
See this image and copyright information in PMC

References

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