Inflammatory abdominal aortic aneurysms are rare, but when they occur the ureters may be involved in the perianeurysmal fibrosis. Treatment of this ureteric involvement is controversial. The authors present one such case, review the literature and describe what they believe is the appropriate method of diagnosis and treatment. This includes the use of computed tomography, retrograde pyelography, ureteral stenting, repair of the aneurysm and ureterolysis.