Cargando…
Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review
BACKGROUND: Arterioureteral fistula (AUF) is a rare, life-threatening condition wherein communication occurs between a ureter and the common, internal, or external iliac artery. The sensitivity of common clinical imaging examination for AUF is low, which leads to a delayed diagnosis and increased mo...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9330645/ https://www.ncbi.nlm.nih.gov/pubmed/35897095 http://dx.doi.org/10.1186/s12894-022-01071-y |
_version_ | 1784758212719804416 |
---|---|
author | Jiang, Zhiwen Wang, Jian Cui, Jianfeng Chen, Shouzhen Qu, Sifeng Wang, Wenfu Guo, Hu Shi, Benkang Zhu, Yaofeng |
author_facet | Jiang, Zhiwen Wang, Jian Cui, Jianfeng Chen, Shouzhen Qu, Sifeng Wang, Wenfu Guo, Hu Shi, Benkang Zhu, Yaofeng |
author_sort | Jiang, Zhiwen |
collection | PubMed |
description | BACKGROUND: Arterioureteral fistula (AUF) is a rare, life-threatening condition wherein communication occurs between a ureter and the common, internal, or external iliac artery. The sensitivity of common clinical imaging examination for AUF is low, which leads to a delayed diagnosis and increased mortality. In addition, the increased use of ureteral stents contributes to the growing frequency of AUF. CASE PRESENTATION: Our two patients were 74 and 65 years old males respectively. They both had a medical history of bladder cancer and underwent radical cystectomy with ureterocutaneostomy. The patients underwent routine catheter exchange during over 1 year postradical cystectomy and subsequently experienced intermittent gross pulsatile haematuria. After a series of imaging examinations failed to identify the cause, the patients were ultimately diagnosed with AUF and treated with interventional radiotherapy, followed by broad-spectrum antibiotics. Positive effects were found. CONCLUSIONS: The incidence of AUF is increased with the prolongation of survival in patients with related risk factors. This case report aims to highlight early diagnosis and management of AUF to lower the mortality. |
format | Online Article Text |
id | pubmed-9330645 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-93306452022-07-29 Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review Jiang, Zhiwen Wang, Jian Cui, Jianfeng Chen, Shouzhen Qu, Sifeng Wang, Wenfu Guo, Hu Shi, Benkang Zhu, Yaofeng BMC Urol Case Report BACKGROUND: Arterioureteral fistula (AUF) is a rare, life-threatening condition wherein communication occurs between a ureter and the common, internal, or external iliac artery. The sensitivity of common clinical imaging examination for AUF is low, which leads to a delayed diagnosis and increased mortality. In addition, the increased use of ureteral stents contributes to the growing frequency of AUF. CASE PRESENTATION: Our two patients were 74 and 65 years old males respectively. They both had a medical history of bladder cancer and underwent radical cystectomy with ureterocutaneostomy. The patients underwent routine catheter exchange during over 1 year postradical cystectomy and subsequently experienced intermittent gross pulsatile haematuria. After a series of imaging examinations failed to identify the cause, the patients were ultimately diagnosed with AUF and treated with interventional radiotherapy, followed by broad-spectrum antibiotics. Positive effects were found. CONCLUSIONS: The incidence of AUF is increased with the prolongation of survival in patients with related risk factors. This case report aims to highlight early diagnosis and management of AUF to lower the mortality. BioMed Central 2022-07-27 /pmc/articles/PMC9330645/ /pubmed/35897095 http://dx.doi.org/10.1186/s12894-022-01071-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Jiang, Zhiwen Wang, Jian Cui, Jianfeng Chen, Shouzhen Qu, Sifeng Wang, Wenfu Guo, Hu Shi, Benkang Zhu, Yaofeng Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
title | Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
title_full | Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
title_fullStr | Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
title_full_unstemmed | Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
title_short | Arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
title_sort | arterioureteral fistula after radical cystectomy and ureterocutaneostomy: two case reports and a systematic literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9330645/ https://www.ncbi.nlm.nih.gov/pubmed/35897095 http://dx.doi.org/10.1186/s12894-022-01071-y |
work_keys_str_mv | AT jiangzhiwen arterioureteralfistulaafterradicalcystectomyandureterocutaneostomytwocasereportsandasystematicliteraturereview AT wangjian arterioureteralfistulaafterradicalcystectomyandureterocutaneostomytwocasereportsandasystematicliteraturereview AT cuijianfeng arterioureteralfistulaafterradicalcystectomyandureterocutaneostomytwocasereportsandasystematicliteraturereview AT chenshouzhen arterioureteralfistulaafterradicalcystectomyandureterocutaneostomytwocasereportsandasystematicliteraturereview AT qusifeng arterioureteralfistulaafterradicalcystectomyandureterocutaneostomytwocasereportsandasystematicliteraturereview AT wangwenfu arterioureteralfistulaafterradicalcystectomyandureterocutaneostomytwocasereportsandasystematicliteraturereview AT guohu arterioureteralfistulaafterradicalcystectomyandureterocutaneostomytwocasereportsandasystematicliteraturereview AT shibenkang arterioureteralfistulaafterradicalcystectomyandureterocutaneostomytwocasereportsandasystematicliteraturereview AT zhuyaofeng arterioureteralfistulaafterradicalcystectomyandureterocutaneostomytwocasereportsandasystematicliteraturereview |