Safran R, Sklenicka R, Kay H
J Urol. 1975 May;113(5):605-9. doi: 10.1016/s0022-5347(17)59533-6.
Iliac artery aneurysms may cause ureteral obstruction. Six cases are reported. The major symptom is renal colic but a palpable aneurysm and a bruit may be found preoperatively and urinalysis may reveal microhematuria. On x-ray the ureter may be deviated medially, anteriorly or laterally. The ureter is bound down in a dense, desmoplastic reaction. All of our patients were treated by ureterolysis, with resection and grafting of the aneurysm in 4 of the 6.
髂动脉瘤可能导致输尿管梗阻。本文报告6例。主要症状为肾绞痛，但术前可能触及动脉瘤和听到血管杂音，尿液分析可能显示镜下血尿。X线检查时，输尿管可能向内侧、前方或外侧移位。输尿管被致密的促结缔组织增生反应固定。我们所有的患者均接受了输尿管松解术，6例中有4例同时进行了动脉瘤切除和移植术。
