IMAGES IN EMERGENCY MEDICINE
External iliac artery aneurysm and ureteric obstruction in a solitary kidney
Department of Urology, Medway Maritime Associate Teaching Hospital, Gillingham, Kent, UK
Correspondence to:
Correspondence to:
Dr G Singh
62 Iceland Wharf, Plough Way, London, SE16 7AB, UK; gups99@hotmail.com
Keywords: aneurysm; ureteric obstruction
| The first 150 words of the full text of this article appear below. |
Ureteric obstruction is amongst the commonest urological emergencies with the most frequent cause being renal stone disease. The emergency physician should, however, have a high index of suspicion to help in identifying other causes of ureteric obstruction.
A 64 year old male presented with acute-on-chronic renal failure, having previously had a left nephroureterectomy for renal cell carcinoma. Ultrasonography showed evidence of moderate hydronephrosis of the solitary right kidney. An emergency nephrostomy was performed and a nephrostogram showed a laterally displaced obstructed ureter. An unenhanced computed tomography scan revealed the obstructing lesion to be a large (8.7x8.5 cm) right external iliac artery aneurysm that was also demonstrated on angiography (fig 1
). This was treated by endovascular stenting.
[in a new window] Figure 1 Angiography demonstrating a large external iliac artery aneurysm which was the cause of the ureteric obstruction.
| |||||||||
External iliac artery aneurysms causing ureteric obstruction in a solitary kidney are rare with only
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
