Unique Presentation of Hematuria in a Patient with Arterioureteral Fistula

Abstract EN

Active extravasation via an arterioureteral fistula (AUF) is a rare and life-threatening emergency that requires efficient algorithms to save a patient’s life.

Unfortunately, physicians may not be aware of its presence until the patient is in extremis.

An AUF typically develops in a patient with multiple pelvic and aortoiliac vascular surgeries, prior radiation therapy for pelvic tumors, and chronic indwelling ureteral stents.

We present a patient with a left internal iliac arterial-ureteral fistula and describe the evolution of management and treatment algorithms based on review of the literature.