Peterson L J, McAninch J W, Weinerth J L
Urology. 1977 Jan;9(1):17-21. doi: 10.1016/0090-4295(77)90276-x.
Two patients with solitary kidneys had ureteral obstruction caused by iliac artery aneurysms. Both patients were treated successfully with ureterolysis and temporary proximal diversion. Iliac artery aneurysms generally remain asymptomatic; however, patients may have urologic complaints (such as hematuria, flank pain, anuria, or a pulsatile urinary stream), and severe complications may develop as a result of an obstructive uropathy. Diagnosis is confirmed by cystoscopy when a mass is present, intravenous pyelography, retrograde pyelography, and arteriography. Treatment must be individualized with consideration of the etiology of the aneurysm and condition of the patient. Surgical correction of the aneurysm may be appropriate. Ureterolysis, with proximal diversion as a temporary safety valve, is a useful procedure particularly when the patient has a solitary kidney.
两名单肾患者因髂动脉瘤导致输尿管梗阻。两名患者均通过输尿管松解术和临时近端改道成功治疗。髂动脉瘤通常无症状；然而，患者可能有泌尿系统症状（如血尿、胁腹痛、无尿或搏动性尿流），并且可能因梗阻性尿路病而出现严重并发症。当存在肿块时，通过膀胱镜检查、静脉肾盂造影、逆行肾盂造影和动脉造影来确诊。治疗必须根据动脉瘤的病因和患者的情况进行个体化考虑。对动脉瘤进行手术矫正可能是合适的。输尿管松解术并将近端改道作为临时安全阀是一种有用的手术，特别是当患者为单肾时。
