Arterio-ureteral fistula: A case-based review of significant hematuria
DOI:
https://doi.org/10.48750/acv.590Keywords:
Arterio-ureteral fistula, common iliac artery fistula, ureteroileostomy fistula, urothelial carcinoma, hematuriaAbstract
BACKGROUND: Arterio-ureteral fistula (AUF) is a rare but life-threatening cause of hematuria. Most AUFs are secondary to malignancy or extensive pelvic/ vascular surgeryCASE REPORT: A case of an 84-year-old patient who developed significant hematuria 4 months after pelvic surgery due to urothelial carcinoma is presented.
CONCLUSION: Active surveillance of patients with predisposing risk factors and sensitivity to other differential diagnoses of hematuria such AUF, is important to avoid mortality of these patients. Percutaneous endovascular stent graft is life-saving procedure that is effective and safe.
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References
Augustin AM, Torre CD, Kocot A, Bley TA, Kalogiriou C, Kokuth R. Endovascular therapy of arterioureteral fistulas. Vasa - Eur J Vasc Med. 2021;50:193-201.
Waqar M, Mathias S-J, Murali V, Thursby H, Luscombe C, James R, et al. Arterio-Ureteral Fistula: A Rare Elusive Cause of Significant Hematuria. Cureus. 2023;58:e39989 .
Fu J-H, Liang HL, Yu CC, Pan H Ben, Yang CF. Percutaneous endovascular repair of a ureteroarterial fistula with a stent graft. J Chinese Med Assoc. 2006;69:387-90.
Moschcowitz A V. Simultaneous Ligation of Both External Iliac Arteries for Secondary Hemorrhage Following Bilateral Ureterolithotomy. Ann Surg 1908;48:872-5.
Malhkinenk A, Bizzotto L, Gamper C, Wieser A. A rare complication of ureteral sterling: Case report of a uretero-arterial fistula and revision of the literature. Arch Ital di Urol e Androl 2018;9:0215-7.
Joglekar O, Bhatt B, Patel D. Ureter-iliac artery graft-cutaneous fistula: A rare presentation. Urol Ann 2017;9177-9.
Bergqvist D, Pä Pason H, Sherif A. Arterio-ureteral Fistula – a Systematic Review. Eur J Vasc Endovasc Surg. 2001;22:191-6.