Hydronephrosis after aorto bifemoral graft surgery: a marker for late graft complications

Ureteral obstructions are serious late complications after aortoiliac recon structive vascular surgery, which lead to loss of kidney function if they r emain untreated. One case report serves to describe the incidence, aetiolog y, clinical presentation and treatment options of an obstructive uropathy f ollowing graft surgery. Hydronephrosis due to a ureteral obstruction is con sidered as a "marker" of graft complication. Therefore, ultrasound examinat ion and close follow-up beyond 1 year are recommended in all patients who u ndergo aortoiliac surgery.