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January 1968

Thrombosis of the Abdominal Aorta: Its Production by Ureteral Compression During Intravenous Pyelography

Author Affiliations

Cooperstown, NY
From the departments of radiology and surgery, Mary Imogene Bassett Hospital, Cooperstown, NY. Doctor Jaretzki is now at Presbyterian Hospital, New York.

Arch Surg. 1968;96(1):76-77. doi:10.1001/archsurg.1968.01330190078017

THROMBOSIS of the abdominal aorta occurred in a patient immediately following a period of abdominal compression during intravenous pyelography. A review of the literature has failed to disclose a similar case. It is the purpose of this report to alert clinicians and radiologists to this unusual complication and to suggest that, in the presence of severe atherosclerosis of the abdominal aorta, compression techniques be eliminated during intravenous pyelography.

Report of a Case  In 1960, this 75-year-old white man (87054) with hypertensive cardiovascular disease and atrial fibrillation developed a right hemiplegia, a myocardial infarction, and a right femoral embolus which was removed with limb survival. He was admitted to the Mary Imogene Bassett Hospital on May 22, 1962, with hematuria.On admission, the patient was thin, ambulatory, and in no acute distress. The pulse rate was 88 beats per minute, the blood pressure 120/60 mm Hg. There was marked arterial venous

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