Korean J Urol.  2006 Mar;47(3):331-333. 10.4111/kju.2006.47.3.331.

Retroperitoneal Fibrosis with Inflammatory Aortic Aneurysm Managed by Laparoscopic Ureterolysis and Intraperitonealization of the Ureters

• Kim JH
• Chung SH
• Lee SY
• Kang KJ
• Ryu DS
• Oh TH

• KMID: 2294183
• DOI: http://doi.org/10.4111/kju.2006.47.3.331

Abstract

Inflammatory aortic aneurysm is rare cause of retroperitoneal fibrosis with ureteral obstruction. Although the treatment options for retroperitoneal fibrosis are variable, a surgical procedure is the best choice when this condition is combined with inflammatory aortic aneurysm. We report here on our experience with laparoscopic bilateral ureterolysis and intraperitonealization of the ureters for the patient suffering with retroperitoneal fibrosis that was caused by an inflammatory aortic aneurysm.

Keyword

Retroperitoneal fibrosis; Aortic aneurysm; Laparoscopy

MeSH Terms

Aortic Aneurysm*
Humans
Laparoscopy
Retroperitoneal Fibrosis*
Ureter*
Ureteral Obstruction

Figure

• 

  Fig. 1 Computed tomography (CT) scan demonstrates bilateral ureteral dilatation and aneurysm of the abdominal aorta with hyperdense enhanced soft tissue at the aortic wall.

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  Fig. 2 The dissected ureter is laid above the peritoneum.

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  Fig. 3 The postoperative intravenous pyelogram demonstrates good ureteral drainage of the contrast media without bilateral ureteral dilatation.

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