Caval and ureteral obstruction secondary to an inflammatory abdominal aortic aneurysm

Inflammatory abdominal aortic aneurysms (IAAA) represent 3% to 10% of all abdominal aortic aneurysms. Obstructive uropathy is a well-described feature of IAAAs, but venous complications are unusual secondary to LkAA. The authors report a patient presenting with acute renal failure and deep venous; thrombosis secondary to an LkAA. We believe this represents the first case of an LkAA manifesting as combined inferior vena cava compression and associated obstructive uropathy. Successful operative repair was performed. With resolution of the retroperitoneal inflammation, long-term follow-up revealed spontaneous release of both ureteral and caval compression.