Anuria Resulting from the Non-Inflammatory (Atherosclerotic) Large Abdominal Aortic Aneurysm. A Successful Surgical Case with Recovery of Renal Function.
10.4326/jjcvs.21.575
- VernacularTitle:両側尿管圧迫により無尿をきたした非炎症性（動脈硬化性）巨大腹部大動脈りゅうの一治験例
- Author:
Kozo KANEDA
;
Kanji KAWACHI
;
Ryuichi MORITA
;
Tsutomu NISHII
;
Kiyoshi INOUE
;
Shigeki TANIGUCHI
;
Tetsuji KAWATA
;
Kazumi MIZUGUCHI
;
Masaaki FUKUTOMI
;
Soichiro KITAMURA
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1992;21(6):575-578
- CountryJapan
- Language:Japanese
-
Abstract:
The sudden onset of anuria in a 71-year-old man was found to be caused by the non-inflammatory (atherosclerotic) large abdominal aortic aneurysm compressing the bilateral ureters. A computed tomography scan demonstrated the bilateral extrinsic ureteral obstructions due to the large aneurysm of 13cm in diameter, left hydronephrosis and no thick layer of perianeurysmal fibrotic tissue. On the 9th day from the onset of anuria, an emergency operation was performed. There was no fibrotic adhesions around the aneurysm and mobilization of the aorta was easy. A straight Dacron prosthesis was inserted between the infrarenal aorta and the bifurcation of the abdominal aorta following resection of the aneurysm of the atherosclerotic origin. Soon after the operation, the patient had very good urinary output with adequate recovery of renal function. This case seems to be very uncommon, but very important in the surgical management of abdominal aortic aneurysm complicated by oliguria or anuria.
