Bilateral external iliac artery pseudoaneurysms causing urinary obstruction and acute renal failure

Background We report an exceedingly rare case of bilateral external iliac artery pseudoaneurysms causing urinary obstruction and acute renal failure. Case presentation A young man presented with acute severe bilateral testicular pain radiating to the back. Clinical and radiological workup showed bil...

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Bibliographic Details
Published in:	CVIR endovascular Vol. 5; no. 1; p. 22
Main Authors:	Bigarella, Marcelo Puppo, Lopes, Roberto Iglesias, Gentile, Guilherme, Faustino, Carolina Brito, da Cunha Gamba, Lais, Lima, Guilherme Baumgardt Barbosa, Melo, Henry Augusto Hoffman, Mulatti, Grace Carvajal
Format:	Journal Article
Language:	English
Published:	Cham Springer International Publishing 25-05-2022 Springer Nature B.V SpringerOpen
Subjects:	Abdomen Addictions Anemia Aortic aneurysms Bilateral ureterohydronephrosis Cardiovascular disease Case Report Cocaine Creatinine Endovascular repair External iliac artery Hematoma Imaging Infectious diseases Interventional Radiology Medicine Medicine & Public Health Pain Radiology Risk factors Ruptured pseudoaneurysm Trauma Ultrasonic imaging Ureteral obstruction Urology Veins & arteries Ureteral obstruction External iliac artery Bilateral ureterohydronephrosis Ruptured pseudoaneurysm Endovascular repair
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Summary:	Background We report an exceedingly rare case of bilateral external iliac artery pseudoaneurysms causing urinary obstruction and acute renal failure. Case presentation A young man presented with acute severe bilateral testicular pain radiating to the back. Clinical and radiological workup showed bilateral external iliac artery pseudoaneurysms, which caused bilateral ureterohydronephrosis due to urinary obstruction with subsequent renal failure. Management included immediate bilateral external iliac artery endovascular repair and bilateral ureterolysis using a retroperitoneal approach, with resolution of the obstruction and successful endovascular treatment of both pseudoaneurysms. The only identifiable risk factor for cardiovascular disease was cocaine addiction. Conclusions This case highlights an unusual and severe clinical presentation of bilateral EIA pseudoaneurysms causing bilateral ureterohydronephrosis and subsequent renal failure. Awareness of this condition may help avoid misdiagnosis and delayed management, which is of utmost importance for a favorable outcome.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2520-8934 2520-8934
DOI:	10.1186/s42155-022-00302-5