Fornix Rupture in Duplex Kidney due to Internal Iliac Artery Aneurysm

Abstract EN

A 70-year-old man presented with severe pain on the right side of the abdomen for 7 days.

An abdominal CT angiographic scan showed an impending rupture of a large right internal iliac artery aneurysm which compressed to a right ureter causing hydroureteronephrosis.

Fornix rupture of a right duplex kidney was also detected.

Selective embolization of right gluteal arteries and then ligation of the right internal iliac artery and right ureterotomy with double J stenting were performed.

At the 4-month follow-up appointment, an abdominal ultrasound demonstrated a decrease in the size of the aneurysm and no hydroureteronephrosis after the removal of double J stent.