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Ureteroarterial Fistula
Ureteral-iliac artery fistula (UIAF) is a rare life threatening cause of hematuria. The increasing frequency is attributed to increasing use of ureteral stents. A 68-year-old female presented with gross hematuria. She had prior low anterior resection for rectal cancer and a retained ureteral stent....
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2777240/ https://www.ncbi.nlm.nih.gov/pubmed/19920865 http://dx.doi.org/10.1155/2009/326969 |
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author | Kim, D. H. Mahdy, A. Mundra, V. Berman, M. Ghoniem, G. M. |
author_facet | Kim, D. H. Mahdy, A. Mundra, V. Berman, M. Ghoniem, G. M. |
author_sort | Kim, D. H. |
collection | PubMed |
description | Ureteral-iliac artery fistula (UIAF) is a rare life threatening cause of hematuria. The increasing frequency is attributed to increasing use of ureteral stents. A 68-year-old female presented with gross hematuria. She had prior low anterior resection for rectal cancer and a retained ureteral stent. CT abdomen and pelvis showed a large recurrent pelvic mass and a retained stent. The patient underwent cystoscopy which showed a normal bladder. Upon removal of the stent, brisk bleeding was noted coming from the ureteral orifice. Antegrade pyelogram was done which revealed a UIAF. Angiography was done and a covered stent was placed. Multiple treatment options are available. All must consider management of the arterial and ureteral side. The arterial side may be addressed by primary open repair, embolization with extra-anatomic vascular reconstruction, or endovascular stenting. The ureter can be managed with nephroureterectomy, ureteral reconstruction, placement of a nephrostomy tube, or ureteral stenting. Being minimally invasive, we believe that endovascular stenting should be the preferred therapeutic option as it also corrects the source of bleeding while preserving distal blood flow. |
format | Text |
id | pubmed-2777240 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-27772402009-11-17 Ureteroarterial Fistula Kim, D. H. Mahdy, A. Mundra, V. Berman, M. Ghoniem, G. M. Case Rep Med Case Report Ureteral-iliac artery fistula (UIAF) is a rare life threatening cause of hematuria. The increasing frequency is attributed to increasing use of ureteral stents. A 68-year-old female presented with gross hematuria. She had prior low anterior resection for rectal cancer and a retained ureteral stent. CT abdomen and pelvis showed a large recurrent pelvic mass and a retained stent. The patient underwent cystoscopy which showed a normal bladder. Upon removal of the stent, brisk bleeding was noted coming from the ureteral orifice. Antegrade pyelogram was done which revealed a UIAF. Angiography was done and a covered stent was placed. Multiple treatment options are available. All must consider management of the arterial and ureteral side. The arterial side may be addressed by primary open repair, embolization with extra-anatomic vascular reconstruction, or endovascular stenting. The ureter can be managed with nephroureterectomy, ureteral reconstruction, placement of a nephrostomy tube, or ureteral stenting. Being minimally invasive, we believe that endovascular stenting should be the preferred therapeutic option as it also corrects the source of bleeding while preserving distal blood flow. Hindawi Publishing Corporation 2009 2009-11-15 /pmc/articles/PMC2777240/ /pubmed/19920865 http://dx.doi.org/10.1155/2009/326969 Text en Copyright © 2009 D. H. Kim et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, D. H. Mahdy, A. Mundra, V. Berman, M. Ghoniem, G. M. Ureteroarterial Fistula |
title | Ureteroarterial Fistula |
title_full | Ureteroarterial Fistula |
title_fullStr | Ureteroarterial Fistula |
title_full_unstemmed | Ureteroarterial Fistula |
title_short | Ureteroarterial Fistula |
title_sort | ureteroarterial fistula |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2777240/ https://www.ncbi.nlm.nih.gov/pubmed/19920865 http://dx.doi.org/10.1155/2009/326969 |
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