Ureteroarterial Fistula
| Autor: | Kim, DH, Mahdy, A, Mundra, V, Berman, M, Ghoniem, GM |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Urologic Diseases
Assistive Technology 5.3 Medical devices urogenital system lcsh:R lcsh:Medicine Bioengineering Case Report General Medicine urologic and male genital diseases female genital diseases and pregnancy complications Rare Diseases surgical procedures operative Biomedical Imaging cardiovascular diseases Development of treatments and therapeutic interventions |
| Zdroj: | Case Reports in Medicine, Vol 2009 (2009) Case Reports in Medicine |
| ISSN: | 1687-9635 1687-9627 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text