Cargando…

Uretero-lumbar artery fistula: A case report

BACKGROUND: Uretero-arterial fistula (UAF) is a disease that usually involves the aorta, common iliac artery, external iliac artery, hypogastric artery, and lumbar artery. Among them, uretero-lumbar artery fistula (ULAF) is the most unusual type. So, both in China and around the world, the diagnosis...

Descripción completa

Detalles Bibliográficos
Autores principales: Chen, Jia-Jian, Wang, Jian, Zheng, Qi-Gang, Sun, Zhao-Hui, Li, Jia-Cheng, Xu, Zi-Lei, Huang, Xiao-Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610900/
https://www.ncbi.nlm.nih.gov/pubmed/34877344
http://dx.doi.org/10.12998/wjcc.v9.i32.10013
_version_ 1784603187787857920
author Chen, Jia-Jian
Wang, Jian
Zheng, Qi-Gang
Sun, Zhao-Hui
Li, Jia-Cheng
Xu, Zi-Lei
Huang, Xiao-Jun
author_facet Chen, Jia-Jian
Wang, Jian
Zheng, Qi-Gang
Sun, Zhao-Hui
Li, Jia-Cheng
Xu, Zi-Lei
Huang, Xiao-Jun
author_sort Chen, Jia-Jian
collection PubMed
description BACKGROUND: Uretero-arterial fistula (UAF) is a disease that usually involves the aorta, common iliac artery, external iliac artery, hypogastric artery, and lumbar artery. Among them, uretero-lumbar artery fistula (ULAF) is the most unusual type. So, both in China and around the world, the diagnosis and treatment of ULAF is a big challenge. CASE SUMMARY: A 55-year-old female patient with a history of pelvic radiotherapy developed unexplained massive hemorrhage during replacement of the right Resonance metallic ureteral double-J tubes due to a long-standing indwelling ureteral stent for ureteral stricture. Later, we found contrast extravasation from the patient's right L4 artery into the ureter under digital subtraction angiography (DSA) and administered polyvinyl alcohol particle embolic agent and coil embolization; hematuria was controlled. Follow-up investigations at 18 mo showed no sign of recurrence. CONCLUSION: DSA is very important in the diagnosis and treatment of UAF, and DSA should be preferred when UAF is suspected. In addition, the use of softer ureteral stents in patients with primary disease and risk factors for UAF should be considered to avoid increasing the risk of the development of the disease; endovascular treatment should be preferred in patients who have developed UAF.
format Online
Article
Text
id pubmed-8610900
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Baishideng Publishing Group Inc
record_format MEDLINE/PubMed
spelling pubmed-86109002021-12-06 Uretero-lumbar artery fistula: A case report Chen, Jia-Jian Wang, Jian Zheng, Qi-Gang Sun, Zhao-Hui Li, Jia-Cheng Xu, Zi-Lei Huang, Xiao-Jun World J Clin Cases Case Report BACKGROUND: Uretero-arterial fistula (UAF) is a disease that usually involves the aorta, common iliac artery, external iliac artery, hypogastric artery, and lumbar artery. Among them, uretero-lumbar artery fistula (ULAF) is the most unusual type. So, both in China and around the world, the diagnosis and treatment of ULAF is a big challenge. CASE SUMMARY: A 55-year-old female patient with a history of pelvic radiotherapy developed unexplained massive hemorrhage during replacement of the right Resonance metallic ureteral double-J tubes due to a long-standing indwelling ureteral stent for ureteral stricture. Later, we found contrast extravasation from the patient's right L4 artery into the ureter under digital subtraction angiography (DSA) and administered polyvinyl alcohol particle embolic agent and coil embolization; hematuria was controlled. Follow-up investigations at 18 mo showed no sign of recurrence. CONCLUSION: DSA is very important in the diagnosis and treatment of UAF, and DSA should be preferred when UAF is suspected. In addition, the use of softer ureteral stents in patients with primary disease and risk factors for UAF should be considered to avoid increasing the risk of the development of the disease; endovascular treatment should be preferred in patients who have developed UAF. Baishideng Publishing Group Inc 2021-11-16 2021-11-16 /pmc/articles/PMC8610900/ /pubmed/34877344 http://dx.doi.org/10.12998/wjcc.v9.i32.10013 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Case Report
Chen, Jia-Jian
Wang, Jian
Zheng, Qi-Gang
Sun, Zhao-Hui
Li, Jia-Cheng
Xu, Zi-Lei
Huang, Xiao-Jun
Uretero-lumbar artery fistula: A case report
title Uretero-lumbar artery fistula: A case report
title_full Uretero-lumbar artery fistula: A case report
title_fullStr Uretero-lumbar artery fistula: A case report
title_full_unstemmed Uretero-lumbar artery fistula: A case report
title_short Uretero-lumbar artery fistula: A case report
title_sort uretero-lumbar artery fistula: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610900/
https://www.ncbi.nlm.nih.gov/pubmed/34877344
http://dx.doi.org/10.12998/wjcc.v9.i32.10013
work_keys_str_mv AT chenjiajian ureterolumbararteryfistulaacasereport
AT wangjian ureterolumbararteryfistulaacasereport
AT zhengqigang ureterolumbararteryfistulaacasereport
AT sunzhaohui ureterolumbararteryfistulaacasereport
AT lijiacheng ureterolumbararteryfistulaacasereport
AT xuzilei ureterolumbararteryfistulaacasereport
AT huangxiaojun ureterolumbararteryfistulaacasereport