Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Urol. Sep 16, 2026; 15(2): 120632
Published online Sep 16, 2026. doi: 10.5410/wjcu.120632
Published online Sep 16, 2026. doi: 10.5410/wjcu.120632
Obstructive uropathy and acute-on-chronic kidney disease from common iliac artery aneurysm: A case report
Souad Seif, Sally Mahmoud, Imad El Sayad, Rony Bou Rizk, Mohamad Tlais, Department of Internal Medicine, University of Balamand, Beirut 1100, Beyrouth, Lebanon
Author contributions: Seif S contributed to conceptualization; Seif S, Mahmoud S, El Sayad I, Bou Rizk R, and Tlais M contributed to data collection and clinical management; Seif S and Mahmoud S contributed to literature review and writing - original draft preparation; El Sayad I, Bou Rizk R, and Tlais M contributed to writing - review and editing; El Sayad I and Tlais M contributed to supervision. All authors have read and agreed to the published version of the manuscript.
AI contribution statement: Grammarly was used only for limited translation support and minor editorial grammar correction. It was not used for scientific content generation, data analysis, or substantive writing assistance. We confirm that all intellectual content, scientific reasoning, study design, analysis, and conclusions are solely the work of the authors. The limited use of AI-assisted tools was restricted to translation and minor language editing only, in the same manner that was used in the response to the reviewers’ comments.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Mohamad Tlais, MD, Department of Internal Medicine, University of Balamand, Hazmieh, Beirut 1100, Beyrouth, Lebanon. mmtlaiss22@gmail.com
Received: March 5, 2026
Revised: April 16, 2026
Accepted: May 15, 2026
Published online: September 16, 2026
Processing time: 196 Days and 2.6 Hours
Revised: April 16, 2026
Accepted: May 15, 2026
Published online: September 16, 2026
Processing time: 196 Days and 2.6 Hours
Core Tip
Core Tip: Common iliac artery aneurysm is a rare but clinically significant cause of extrinsic ureteral compression leading to obstructive uropathy and acute kidney injury. In patients presenting with unexplained hydronephrosis and renal dysfunction, vascular etiologies should be considered, particularly when conventional causes are absent. Noncontrast imaging may identify obstruction in the setting of acute kidney injury, while magnetic resonance angiography can provide further vascular characterization. Early decompression and coordinated multidisciplinary management are critical to preserving renal function.