Uropatía obstructiva por fibrosis retroperitoneal secundaria a aneurisma de aorta abdominal

Resumen

Los aneurismas inflamatorios de la aorta abdominal se asocian a la presencia de fibrosis retroperitoneal y posibles complicaciones ureterales. Presentamos el caso de un aneurisma inflamatorio que produjo un atrapamiento ureteral bilateral e insuficiencia renal obstructiva. Se comenta de forma breve la incidencia, patogenia y presentación clínica de este tipo de aneurismas y el tratamiento de la complicación ureteral.

Abstract

Inflamatory abdominal aortic aneurysms are known to be associated with retroperitoneal fibrosis and ureteral complications. We report a case of an inflamatory aneuriysm that produced bilateral ureteral envelopment and obstructive renal failure. Incidence, pathogenesis and clinical onset of this kind of aneurysms and management of the ureteral complications are reviewed.