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Ureteroarterial Fistula
Joint Authors
Kim, D. H.
Mahdy, A.
Ghoniem, G. M.
Mundra, V.
Berman, M.
Source
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-11-15
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Kim, D. H.& Mahdy, A.& Mundra, V.& Berman, M.& Ghoniem, G. M.. 2009. Ureteroarterial Fistula. Case Reports in Medicine،Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-463779
Modern Language Association (MLA)
Kim, D. H.…[et al.]. Ureteroarterial Fistula. Case Reports in Medicine No. 2009 (2009), pp.1-4.
https://search.emarefa.net/detail/BIM-463779
American Medical Association (AMA)
Kim, D. H.& Mahdy, A.& Mundra, V.& Berman, M.& Ghoniem, G. M.. Ureteroarterial Fistula. Case Reports in Medicine. 2009. Vol. 2009, no. 2009, pp.1-4.
https://search.emarefa.net/detail/BIM-463779
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-463779