Department of Vascular and Endovascular Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, Northern Ireland, UK.
Ir J Med Sci. 2012 Sep;181(3):415-8. doi: 10.1007/s11845-010-0569-0. Epub 2010 Sep 12.
Conventional open repair of inflammatory abdominal aortic aneurysms (IAAA) remains challenging through the presence of extensive peri-aortic inflammation and fibrosis which makes dissection and vascular control difficult with a risk of inadvertent injury to adjacent visceral structures such as the ureters, duodenum, inferior vena cava, left renal vein and sigmoid colon.
We describe a case of a 69-year-old gentleman who presented with acute renal failure due to bilateral ureteric obstruction in association with an IAAA and discuss the various management options available.
IAAAs and the associated peri-aortic inflammation and fibrosis can be successfully treated using endovascular abdominal aortic aneurysm repair with concurrent ureteric stenting.
炎症性腹主动脉瘤（IAAA）的传统开放修复仍然具有挑战性，因为广泛的腹主动脉周围炎症和纤维化使得解剖和血管控制变得困难，并可能无意中损伤相邻的内脏结构，如输尿管、十二指肠、下腔静脉、左肾静脉和乙状结肠。
我们描述了一位 69 岁男性的病例，他因双侧输尿管梗阻导致急性肾衰竭而就诊，同时患有 IAAA，并讨论了各种可用的治疗选择。
IAAA 及其相关的腹主动脉周围炎症和纤维化可以通过血管内腹主动脉瘤修复术联合输尿管支架置入术成功治疗。
