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Uretero-iliac artery aneurysm fistula: A rare but fatal cause of haematuria
Visible haematuria from an uretero-iliac artery aneurysm fistula (UIAF) offers a diagnostic challenge and early accurate diagnosis can have a significant impact on prognosis. We report a 90 year old gentleman who presented with visible haematuria and clot retention. He required catheterisation, blad...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JSCR Publishing Ltd
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649572/ https://www.ncbi.nlm.nih.gov/pubmed/24960774 http://dx.doi.org/10.1093/jscr/2012.8.16 |
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author | Meecham, L Koo, V Rajjayabun, PH |
author_facet | Meecham, L Koo, V Rajjayabun, PH |
author_sort | Meecham, L |
collection | PubMed |
description | Visible haematuria from an uretero-iliac artery aneurysm fistula (UIAF) offers a diagnostic challenge and early accurate diagnosis can have a significant impact on prognosis. We report a 90 year old gentleman who presented with visible haematuria and clot retention. He required catheterisation, bladder washout and a blood transfusion. Subsequent imaging revealed an abdominal aortic aneurysm and bilateral iliac artery aneurysms with left sided hydronephrosis and hydroureter. There was no radiological evidence of a fistula between the left ureter and iliac aneurysm. Due to associated co-morbidity surgical intervention was not deemed suitable. Although his haematuria initially settled he developed catastrophic haematuria and died. Post-mortem confirmed UIAF causing fatal haemorrhage. In this report we discuss the diagnostic challenges and management options for this condition. |
format | Online Article Text |
id | pubmed-3649572 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | JSCR Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-36495722013-05-14 Uretero-iliac artery aneurysm fistula: A rare but fatal cause of haematuria Meecham, L Koo, V Rajjayabun, PH J Surg Case Rep Urology Visible haematuria from an uretero-iliac artery aneurysm fistula (UIAF) offers a diagnostic challenge and early accurate diagnosis can have a significant impact on prognosis. We report a 90 year old gentleman who presented with visible haematuria and clot retention. He required catheterisation, bladder washout and a blood transfusion. Subsequent imaging revealed an abdominal aortic aneurysm and bilateral iliac artery aneurysms with left sided hydronephrosis and hydroureter. There was no radiological evidence of a fistula between the left ureter and iliac aneurysm. Due to associated co-morbidity surgical intervention was not deemed suitable. Although his haematuria initially settled he developed catastrophic haematuria and died. Post-mortem confirmed UIAF causing fatal haemorrhage. In this report we discuss the diagnostic challenges and management options for this condition. JSCR Publishing Ltd 2012-08-01 /pmc/articles/PMC3649572/ /pubmed/24960774 http://dx.doi.org/10.1093/jscr/2012.8.16 Text en © JSCR |
spellingShingle | Urology Meecham, L Koo, V Rajjayabun, PH Uretero-iliac artery aneurysm fistula: A rare but fatal cause of haematuria |
title | Uretero-iliac artery aneurysm fistula: A rare but fatal cause of haematuria |
title_full | Uretero-iliac artery aneurysm fistula: A rare but fatal cause of haematuria |
title_fullStr | Uretero-iliac artery aneurysm fistula: A rare but fatal cause of haematuria |
title_full_unstemmed | Uretero-iliac artery aneurysm fistula: A rare but fatal cause of haematuria |
title_short | Uretero-iliac artery aneurysm fistula: A rare but fatal cause of haematuria |
title_sort | uretero-iliac artery aneurysm fistula: a rare but fatal cause of haematuria |
topic | Urology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649572/ https://www.ncbi.nlm.nih.gov/pubmed/24960774 http://dx.doi.org/10.1093/jscr/2012.8.16 |
work_keys_str_mv | AT meechaml ureteroiliacarteryaneurysmfistulaararebutfatalcauseofhaematuria AT koov ureteroiliacarteryaneurysmfistulaararebutfatalcauseofhaematuria AT rajjayabunph ureteroiliacarteryaneurysmfistulaararebutfatalcauseofhaematuria |