Asynchronous Bilateral Ureteric-Arterial Fistula: Diagnosis and Treatment

Autor: Pietro Pepe, Letterio D’Arrigo, Domenico Patane’, Ludovica Pepe, Giuseppe Candiano, Michele Pennisi
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Case Reports in Urology, Vol 2021 (2021)
Druh dokumentu: article
ISSN: 2090-696X
2090-6978
DOI: 10.1155/2021/5590432
Popis: A 48-year-old woman submitted to anterior exenteration plus ileal-cutaneous conduit for metastatic cervical cancer during the change of the ureteral stent showed massive bleeding in the left ureter. A selective intra-arterial angiography showed a fistula between the ureter and the left common iliac artery that the interventional radiologist quickly repaired by inserting a vascular endoprosthesis. Six months later, gross hematuria secondary to right ureter-iliac fistula occurred again and a second endoprosthesis was inserted. Asynchronous bilateral ureteric stent-related vascular fistula is an uncommon scenario, but it should be suspected in the presence of hematuria following ureteral stent replacement.
Databáze: Directory of Open Access Journals