Thompson P M, Packham D A, Yates-Bell A J
Br J Urol. 1981 Oct;53(5):421-3. doi: 10.1111/j.1464-410x.1981.tb03221.x.
Two rare cases are reported, both known to have solitary kidneys, that had ureteric obstruction caused by iliac artery aneurysms. Iliac aneurysms have a high mortality and may present to the urologist as an uncommon cause of ureteric obstruction. When the ureter of a solitary kidney is obstructed it is recommended that both ureterolysis and a temporary proximal diversion be performed. A common iliac aneurysm should be excised and grafted where possible; an internal iliac aneurysm is best treated by simple ligation or partial excision only.
报道了两例罕见病例,均为单肾,因髂动脉瘤导致输尿管梗阻。髂动脉瘤死亡率高,可能作为输尿管梗阻的罕见病因出现在泌尿外科医生面前。当单肾的输尿管发生梗阻时,建议同时进行输尿管松解术和临时近端改道。常见的髂动脉瘤应尽可能切除并进行移植;髂内动脉瘤最好仅通过简单结扎或部分切除进行治疗。