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. 1989;16(1):51–55.

Embolomycotic Aneurysm of External Iliac Artery

Producing Ipsilateral Hydronephrosis and Venous Insufficiency

Nemesio A Terán 1, Nerio M Gonzalez 1, Luis García 1, Freddy E Gonzalez 1, Humberto E Rivera 1
PMCID: PMC324844  PMID: 15227238

Abstract

We report a case of embolomycotic aneurysm of the right iliac artery secondary to bacterial endocarditis. The patient, a 33-year-old woman, presented with unilateral hydronephrosis and lower extremity edema caused by aneurysmal compression of the ipsilateral ureter and the external iliac vein. She was treated with ligation and an extraperitoneal left-external-iliac-artery to right-femoral-artery bypass using a knitted Dacron prosthesis. Since her surgery, our patient has been well except for persistence of moderate leg edema. To the best of our knowledge, we are reporting the 1st case of embolomycotic external-iliac-artery aneurysm secondary to bacterial endocarditis and resulting in hydronephrosis and venous insufficiency. (Texas Heart Institute Journal 1989;16:51-55)

Keywords: iliac artery

Keywords: aneurysm, mycotic

Keywords: endocarditis, bacterial

Keywords: hydronephrosis

Keywords: venous

Keywords: insufficiency

Keywords: ureteral obstruction

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Selected References

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