A Rare Cause of Anuria: A Case of Inflammatory Iliac Aneurysm

Abstract

The patient was a 68-year-old male. The patient of complaint was anuria. There was no sense of urination. Abdominopelvic ultrasonography USG and abdominopelvic computed tomography CT without contrast revealed an empty bladder and the presence of bilateral hydroureteronephrosis. Aneurysms in the aorta and bilateral iliac arteries were detected. It caused bilateral hydroureteronephrosis via compressing “aneurysmal bilateral ureter”. Creatinine was 4.97 mg/dL, BUN 37 mg/dL, C reactive protein CRP 193 mg/L and erythrocyte sedimentation rate ESR 99 mm/h. A double J stent was inserted on the right and a nephrostomy tube was placed on the left. The urea and creatinine levels returned to normal postoperatively. Urinary obstruction or anuria can develop due to a lot of reasons such as stricture, urolithiasis, clot, and malignancy or inflammation of peripheral organs and etc. Abdominal aortic aneurysm AAA or iliac artery aneurysm IAA is a very rare cause of urinary obstruction or anuria. Abdominal aortic aneurysm AAA and iliac artery aneurysm IAA are rare factors that can cause urological symptoms with an inflammatory or direct compressive effect. There have been very rarely reported as a cause of acute anuria. We present a case of acute anuria due to bilateral inflammatory iliac artery aneurysm

Keywords

• Anuria,bilateral hydroureteronephrosis,iliac aneurysm,inflammatory

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