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Journal of Basic and Clinical Health Sciences 2019 , Vol 3 , Issue 1
A Rare Cause of Anuria: A Case of Inflammatory Iliac Aneurysm
Muhammet Guzelsoy1,Baran Tan1,Ali Riza Turkoglu1,Soner Coban1,Ufuk Aydın2
1Bursa YİEAH, Urology, Bursa, Turkey
2Bursa YİEAH, Cardiovasculer surgery, Bursa, Turkey
DOI : 10.30621/jbachs.2019.428 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