We describe an 80-year-old female with a left ureteroileal fistula and simultaneously a right ureteroiliac fistula. Her history highlights the predisposing factors of radiation, major surgery in the region, and presence of bilateral double-J-stents. She was successfully treated with an endovascular approach after being initially misdiagnosed. There seems to be an increase in reporting ureteral fistulas, however this entity remains a rare clinical condition that can lead to life-threatening situations. A fast and accurate diagnosis of an ureteroarterial fistula remains a challenge.
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http://dx.doi.org/10.1155/2011/284505 | DOI Listing |
Urol Case Rep
November 2023
Mercy Health, St. Elizabeth, Youngstown, OH, USA.
Uretero-iliac artery fistula is an uncommon finding, which typically occurs following abdominal surgery, trauma, radiation, or ureteral stent placement. This usually presents in a patient with intermittent hematuria, making it difficult to diagnosis. Computed tomography angiography (CTA) is gold-standard for diagnosis, but a high-degree of clinical suspicion must be present to make the diagnosis.
View Article and Find Full Text PDFOpen Med (Wars)
December 2022
Department of Medicine and Surgery, Division of Urology, University of Perugia, Perugia, 06129, Italy.
Fistulas arising between ureters and iliac arteries (UAF) are rare pathological events and frequently require emergency treatment, as they are associated with massive haematuria and haemorrhagic shock. The medical history plays a key role in the diagnostic and therapeutic process, as it allows to include UAF among the differential diagnoses of gross haematuria. The emergency treatments of fistulas arising between the urinary system and the vascular system include the repairing surgery or the endovascular grafting, the latter generally better tolerated by patients suffering from multiple comorbidities or not eligible for traditional surgery.
View Article and Find Full Text PDFJ Med Vasc
December 2022
Vascular Surgery Department, Alpes Leman hospital center, Contamine-sur-Arve, France.
Uretero-Iliac artery fistula (UIAF) is a rare condition in vascular surgery, its prognosis remains poor with a high mortality, requires rapid multidisciplinary diagnosis and treatment. We report the case of an uretero-Iliac artery fistula in a 65-year-old patient who underwent total pelvectomy with trans-ileal cutaneous ureterostomy (Bricker), followed by pelvic radiotherapy, and placement of a single J ureteral stent, diagnosed by abdominal and pelvic CT, and treated by endovascular approach.
View Article and Find Full Text PDFUretero-iliac artery fistulas (UIAFs) are a rare cause of gross hematuria. They form as a result of poorly vascularized uretero-iliac adhesions and the resultant fibrosis and chronic inflammatory changes. Causes include previous pelvic surgery, radiotherapy, and chronic ureteral stenting.
View Article and Find Full Text PDFVasc Endovascular Surg
May 2022
Department of Urology, Assistance Publique-Hôpitaux de Paris, Paris Descartes University, 26935Cochin Hospital, Paris, France.
Ureteroarterial fistula (UAF) is a rare but life-threatening condition because of massive hemorrhage. Risk factors include degenerative vascular diseases, previous vascular surgery, pelvic radiation, chemotherapy, pelvic surgery, and prolonged ureteral stenting. The most common presentation of UAF is massive hematuria with hemorrhagic shock.
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