Pahira J J, Wein A J, Barker C F, Banner M P, Arger P H, Mulhern C, Pollack H
J Urol. 1979 Jan;121(1):103-6. doi: 10.1016/s0022-5347(17)56681-1.
The sixteenth case of bilateral ureteral obstruction with anuria secondary to an abdominal aortic aneurysm with perianeurysmal fibrosis is presented. The details of this case clearly indicate the need for a combined vascular and urologic approach to patients with this disorder. A complete preoperative evaluation, including excretory urography, retrograde pyeloureterography, aortography and, when indicated, venacavography, may determine renal and vascular abnormalities that will allow a more definitive and successful management of this difficult problem. Furthermore, we believe that the use of computed tomography is an invaluable tool to define this retroperitoneal disease process and its precise relationship to the ureters.
本文报告了第16例因腹主动脉瘤伴瘤周纤维化继发双侧输尿管梗阻无尿的病例。该病例的详细情况清楚地表明，对于患有这种疾病的患者，需要采用血管外科和泌尿外科联合治疗的方法。完整的术前评估，包括排泄性尿路造影、逆行肾盂输尿管造影、主动脉造影，以及在必要时进行腔静脉造影，可能会发现肾脏和血管异常情况，从而更明确、更成功地处理这一难题。此外，我们认为计算机断层扫描是一种非常有价值的工具，可用于明确这种腹膜后疾病的进程及其与输尿管的确切关系。
