Betül ZENGİN, Mesut GÜRDAL, Kürşad ZENGİN, Serhat TANIK, Ayllin OKUR

ABDOMİNAL AORT VE İLİAK ARTER ANEVRİZMA KOMPRESYONUNA SEKONDER GELİŞEN HİDROÜRETERONEFROZLU OLGUNUN, MR ÜROGRAFİ İLE DEĞERLENDİRİLMESİ : OLGU SUNUMU

Arteriyel anevrizma tanısı sosyoekonomik ve teknolojik gelişmelere paralel olarak, ar- tan sıklıkla konabilmektedir. İliak anevrizmalar, üreterlere olan anatomik komşulukları nedeniyle, üriner sistem obstruksiyonuna neden olabilmektedir. Abdominal aort ve iliak arter anevrizma kompresyonu sonucu oluşan tek taraflı üreter obstruksiyonlu, böbrek yetmezliği bulunan olgunun magnetik rezonans (MR) ürografi ile değerlendirilmesini sunuyoruz.

Evaluation of Hydronephrosis with Abdominal Aort and Iliac Artery Aneurysm by Using mr Urography : Case Report

With increasing socio-economic and technological development, arterial aneurysms are more frequently diagnosed. Due to anatomical neighborhood with ureters, iliac aneurysms can cause urinary system obstruction. We report a case with unilateral hydroureteronephrosis and renal failure as a result of abdominal aorta and iliac artery aneurysm evaluated by magnetic resonance (MR) urography.

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1. Köcher M, Utíkal P, Koutná J, Bachleda P, Buriánková E, Herman M, et al. Endovascular treatment of abdominal aortic aneurysms-6 years of experience with Ella stentgraft system. Eur J Radiol 2004;51(2):181-8.
2. García-Madrid C, Josa M, Riambau V, Mestres CA, Muntaña J, Mulet J. Endovascular versus open surgical repair of abdominal aortic aneurysm: A comparion of early and intermediate results in patients suitable for both techniques. Eur J Vasc Endovasc Surg 2004; 28(4):365-72.
3. Akkersdijk GJ, Prinssen M, Blankensteijn JD. The impact of endovascular treatment on in-hospital mortality following non-ruptured AAA repair over a decade: a population based study of 16,446 patients. Eur J Vasc Endovasc Surg 2004;28(1):41-6.
4. Simons PC, van Overhagen H, Bruijninckx CM, Kropman RF, Kuipers KC. Periaortitis with ureteral obstruction after endovascular repair of an abdominal aortic aneurysm. Am J Roentgenol 2002;179(1):118-20.
5. Küpeli S, Küpeli B. Üriner obstrüksiyonlar. In Anafarta K, Arikan N, Bedük Y, eds. Temel Üroloji. Güneş Kitabevi, Ankara, 1998:271-315.
6. Lacquet JP, Lacroix H, Nevelsteen A, Suy R. Inflammatory abdominal aortic aneurysms. A retrospective study of 110 cases. Acta Chir Belg 1997;97(6):286-92.
7. Cronan JJ. Contemporary concepts in imaging urinary tract obstruction. Radiol ClinNorth Am 1991;29(3):527-42.
8. Avni EF, Bali MA, Regnault M, DamryN,Degroot F, Metens T, et al. MR urography in children. Eur J Radiol 2002; 43(2):154-66.
9. Oyar O, Gülsoy UK, Yeşildağ A, Yıldız M, Baykal B, Köroğlu M. Magnetik Rezonans Görüntüleme. In Oyar O, Gülsoy U. Tıbbi Görüntüleme Fiziği. SDÜ Tıp Fakültesi, Isparta, 2003, 296-300.
10. Tang Y, Yamashita Y, Namimoto T, Abe Y, Nishiharu T, Sumi S, et al. The value of MR urography that uses HASTE sequences to reveal urinary tract disorders. AJR Am J Roentgenol 1996;167(6):1497-502.
11. Karaali K, Çevikol C, Dündar F, Şenol U, Danışman A, Bircan O. Üriner system obstrüksiyonlarının değerlendirilmesinde MR Ürografi. Türk Üroloji Dergisi 2004;3(3):354-9.