Urological complication following aortoiliac graft: case report and review of the literature
CONTEXT: Ureteral stenosis and ureterohydronephrosis may be serious complications of aortoiliac or aortofemoral reconstructive surgery. CASE REPORT: A 62-year-old female patient presented with a six-month history of left lumbar pain. She was a smoker, and had mild chronic arterial hypertension and T...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802010000300010&lng=en&tlng=en |
| _version_ | 1819168973520896000 |
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| author | Leonardo Lima Borges Fábio César Miranda Torricelli Gustavo Xavier Ebaid Antônio Marmo Lucon Miguel Srougi |
| author_facet | Leonardo Lima Borges Fábio César Miranda Torricelli Gustavo Xavier Ebaid Antônio Marmo Lucon Miguel Srougi |
| author_sort | Leonardo Lima Borges |
| collection | DOAJ |
| description | CONTEXT: Ureteral stenosis and ureterohydronephrosis may be serious complications of aortoiliac or aortofemoral reconstructive surgery. CASE REPORT: A 62-year-old female patient presented with a six-month history of left lumbar pain. She was a smoker, and had mild chronic arterial hypertension and Takayasu arteritis. She had previously undergone three vascular interventions. In two procedures, Dacron prostheses were necessary. Excretory urography showed moderate left ureterohydronephrosis and revealed a filling defect in the ureter close to where the iliac vessels cross. This finding was compatible with ureteral stenosis, and the aortoiliac graft may have been the reason for this inflammatory process. The patient underwent laparotomy, which showed that there was a relationship between the ureteral stenosis and the vascular prosthesis. Segmental ureterectomy and end-to-end ureteroplasty with the ureter crossing over the prosthesis anteriorly were performed. There were no complications. The early and late postoperative periods were uneventful. The patient evolved well and the results from a new excretory urogram were normal. We concluded that symptomatic ureterohydronephrosis following aortoiliac graft is a real complication and needs to be quickly diagnosed and treated by urologists. |
| first_indexed | 2024-12-22T19:12:07Z |
| format | Article |
| id | doaj.art-b1836ec837e04f4d82d7c7a25d3b846a |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-22T19:12:07Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-b1836ec837e04f4d82d7c7a25d3b846a2022-12-21T18:15:38ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460128317417610.1590/S1516-31802010000300010S1516-31802010000300010Urological complication following aortoiliac graft: case report and review of the literatureLeonardo Lima Borges0Fábio César Miranda Torricelli1Gustavo Xavier Ebaid2Antônio Marmo Lucon3Miguel Srougi4Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloCONTEXT: Ureteral stenosis and ureterohydronephrosis may be serious complications of aortoiliac or aortofemoral reconstructive surgery. CASE REPORT: A 62-year-old female patient presented with a six-month history of left lumbar pain. She was a smoker, and had mild chronic arterial hypertension and Takayasu arteritis. She had previously undergone three vascular interventions. In two procedures, Dacron prostheses were necessary. Excretory urography showed moderate left ureterohydronephrosis and revealed a filling defect in the ureter close to where the iliac vessels cross. This finding was compatible with ureteral stenosis, and the aortoiliac graft may have been the reason for this inflammatory process. The patient underwent laparotomy, which showed that there was a relationship between the ureteral stenosis and the vascular prosthesis. Segmental ureterectomy and end-to-end ureteroplasty with the ureter crossing over the prosthesis anteriorly were performed. There were no complications. The early and late postoperative periods were uneventful. The patient evolved well and the results from a new excretory urogram were normal. We concluded that symptomatic ureterohydronephrosis following aortoiliac graft is a real complication and needs to be quickly diagnosed and treated by urologists.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802010000300010&lng=en&tlng=enUreterUreteral obstructionKidneyHydronephrosisBlood vessel prosthesis |
| spellingShingle | Leonardo Lima Borges Fábio César Miranda Torricelli Gustavo Xavier Ebaid Antônio Marmo Lucon Miguel Srougi Urological complication following aortoiliac graft: case report and review of the literature São Paulo Medical Journal Ureter Ureteral obstruction Kidney Hydronephrosis Blood vessel prosthesis |
| title | Urological complication following aortoiliac graft: case report and review of the literature |
| title_full | Urological complication following aortoiliac graft: case report and review of the literature |
| title_fullStr | Urological complication following aortoiliac graft: case report and review of the literature |
| title_full_unstemmed | Urological complication following aortoiliac graft: case report and review of the literature |
| title_short | Urological complication following aortoiliac graft: case report and review of the literature |
| title_sort | urological complication following aortoiliac graft case report and review of the literature |
| topic | Ureter Ureteral obstruction Kidney Hydronephrosis Blood vessel prosthesis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802010000300010&lng=en&tlng=en |
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