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Vascular and Endovascular Surgery
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Abdominal Aortic Aneurysm with Periaortic Fibrosis and Ureteral Obstruction—Report of Two Cases

Carlo Vulpio

Department of Surgery, Catholic University, Rome, Italy

Vincenzo Venuto

Department of Surgery, Catholic University, Rome, Italy

Federico Francesco

Department of Surgery, Catholic University, Rome, Italy

Massimo Massari

Department of Surgery, Catholic University, Rome, Italy

Carmelo Destito

Department of Surgery, Catholic University, Rome, Italy

Augusto Borzone

Department of Surgery, Catholic University, Rome, Italy

Alfredo Wiel Marin

Department of Surgery, Catholic University, Rome, Italy

Giancarlo Castiglioni

Department of Surgery, Catholic University, Rome, Italy

Two cases of ureteral obstruction due to the retroperitoneal fibrosis associated with abdominal aortic aneurysm are described.

The clinical findings, etiology, diagnosis, and management are discussed. Preoperative diagnosis of abdominal aortic aneurysm with periaortic fibrosis and ureteral obstruction may be possible with the aid of intravenous urography, ultrasonography, and computed tomography.

Aortic replacement with synchronous ureterolysis is the treatment of choice; cortico steroids represent an alternative therapy where aortic replacement is too hazardous.

Vascular and Endovascular Surgery, Vol. 25, No. 3, 243-249 (1991)
DOI: 10.1177/153857449102500314
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