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A rare case of large isolated internal iliac artery aneurysm with ureteral obstruction and hydronephrosis: Compression symptoms are limitation for endovascular procedures

Authorized Users Only
2015
Authors
Nenezić, Dragoslav
Tanasković, Slobodan
Gajin, Predrag
Ilijevski, Nenad
Novaković, Aleksandra
Radak, Đorđe
Article (Published version)
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Abstract
Introduction: In this report, we aim to present a rare case of isolated internal iliac artery aneurysm with associated left ureteric obstruction and consequent hydronephrosis. Case report: A 66-year-old male patient was admitted for occasional pain in the lower back that appeared one month earlier. CT arteriography revealed isolated internal iliac artery (diameter 99 mm) with ureteral obstruction, hydroureter and left kidney hydronephrosis occurrence. Aneurysm was resected, after six months the patient was doing well. Bearing in mind that 77% of the patients with isolated internal iliac artery have symptoms caused by aneurysmal compression on adjacent organs, we wanted to highlight that despite the amazing expansion of endovascular procedures in the last decades, its therapeutic effect in isolated internal iliac artery's treatment is to a great extent limited since compression symptoms cannot be solved. Conclusion: Open surgery remains the gold standard for isolated internal iliac arte...ry's treatment considering significant limitations of endovascular procedures due to the inability to eliminate problems caused by compression.

Keywords:
Internal iliac artery aneurysm / compression / hydronephrosis
Source:
Vascular Pharmacology, 2015, 23, 2, 170-175
Publisher:
  • Sage Publications Ltd, London
Projects:
  • Carotid disease in Serbia - pathologic dynamics, prevention, diagnostics and inovative therapeutic methods (RS-41002)

DOI: 10.1177/1708538114533963

ISSN: 1708-5381

PubMed: 24821682

WoS: 000350961000011

Scopus: 2-s2.0-84924875342
[ Google Scholar ]
4
5
URI
http://farfar.pharmacy.bg.ac.rs/handle/123456789/2423
Collections
  • Radovi istraživača / Researchers’ publications
Institution
Pharmacy
TY  - JOUR
AU  - Nenezić, Dragoslav
AU  - Tanasković, Slobodan
AU  - Gajin, Predrag
AU  - Ilijevski, Nenad
AU  - Novaković, Aleksandra
AU  - Radak, Đorđe
PY  - 2015
UR  - http://farfar.pharmacy.bg.ac.rs/handle/123456789/2423
AB  - Introduction: In this report, we aim to present a rare case of isolated internal iliac artery aneurysm with associated left ureteric obstruction and consequent hydronephrosis. Case report: A 66-year-old male patient was admitted for occasional pain in the lower back that appeared one month earlier. CT arteriography revealed isolated internal iliac artery (diameter 99 mm) with ureteral obstruction, hydroureter and left kidney hydronephrosis occurrence. Aneurysm was resected, after six months the patient was doing well. Bearing in mind that 77% of the patients with isolated internal iliac artery have symptoms caused by aneurysmal compression on adjacent organs, we wanted to highlight that despite the amazing expansion of endovascular procedures in the last decades, its therapeutic effect in isolated internal iliac artery's treatment is to a great extent limited since compression symptoms cannot be solved. Conclusion: Open surgery remains the gold standard for isolated internal iliac artery's treatment considering significant limitations of endovascular procedures due to the inability to eliminate problems caused by compression.
PB  - Sage Publications Ltd, London
T2  - Vascular Pharmacology
T1  - A rare case of large isolated internal iliac artery aneurysm with ureteral obstruction and hydronephrosis: Compression symptoms are limitation for endovascular procedures
VL  - 23
IS  - 2
SP  - 170
EP  - 175
DO  - 10.1177/1708538114533963
ER  - 
@article{
author = "Nenezić, Dragoslav and Tanasković, Slobodan and Gajin, Predrag and Ilijevski, Nenad and Novaković, Aleksandra and Radak, Đorđe",
year = "2015",
url = "http://farfar.pharmacy.bg.ac.rs/handle/123456789/2423",
abstract = "Introduction: In this report, we aim to present a rare case of isolated internal iliac artery aneurysm with associated left ureteric obstruction and consequent hydronephrosis. Case report: A 66-year-old male patient was admitted for occasional pain in the lower back that appeared one month earlier. CT arteriography revealed isolated internal iliac artery (diameter 99 mm) with ureteral obstruction, hydroureter and left kidney hydronephrosis occurrence. Aneurysm was resected, after six months the patient was doing well. Bearing in mind that 77% of the patients with isolated internal iliac artery have symptoms caused by aneurysmal compression on adjacent organs, we wanted to highlight that despite the amazing expansion of endovascular procedures in the last decades, its therapeutic effect in isolated internal iliac artery's treatment is to a great extent limited since compression symptoms cannot be solved. Conclusion: Open surgery remains the gold standard for isolated internal iliac artery's treatment considering significant limitations of endovascular procedures due to the inability to eliminate problems caused by compression.",
publisher = "Sage Publications Ltd, London",
journal = "Vascular Pharmacology",
title = "A rare case of large isolated internal iliac artery aneurysm with ureteral obstruction and hydronephrosis: Compression symptoms are limitation for endovascular procedures",
volume = "23",
number = "2",
pages = "170-175",
doi = "10.1177/1708538114533963"
}
Nenezić D, Tanasković S, Gajin P, Ilijevski N, Novaković A, Radak Đ. A rare case of large isolated internal iliac artery aneurysm with ureteral obstruction and hydronephrosis: Compression symptoms are limitation for endovascular procedures. Vascular Pharmacology. 2015;23(2):170-175
Nenezić, D., Tanasković, S., Gajin, P., Ilijevski, N., Novaković, A.,& Radak, Đ. (2015). A rare case of large isolated internal iliac artery aneurysm with ureteral obstruction and hydronephrosis: Compression symptoms are limitation for endovascular procedures.
Vascular PharmacologySage Publications Ltd, London., 23(2), 170-175.
https://doi.org/10.1177/1708538114533963
Nenezić Dragoslav, Tanasković Slobodan, Gajin Predrag, Ilijevski Nenad, Novaković Aleksandra, Radak Đorđe, "A rare case of large isolated internal iliac artery aneurysm with ureteral obstruction and hydronephrosis: Compression symptoms are limitation for endovascular procedures" 23, no. 2 (2015):170-175,
https://doi.org/10.1177/1708538114533963 .

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