A Challenging Case of Ureteroiliac Artery Fistula Managed With an Endovascular Approach.
Mohamed Abou ChakraDavid AzoulaiMichael PeyromaureNicolas Barry DelongchampsHugo BaillyAlexandre LucasRaphaël DautryIgor DuquesnePublished in: Vascular and endovascular surgery (2022)
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. The diagnosis is always difficult even with angiography. Endovascular repair with stenting and/or coiling is effective and safe. The surgical treatment should be used in recurrent UAF cases. We reported a rare case describing rapid management of a UAF in a patient who presented with hematuria even when we had no diagnosis on the initial CT scan. The patient was in shock. Deployment of a stent graft within the common iliac artery bypassing the UAF was performed. The patient improved rapidly.
Keyphrases
- case report
- rare case
- computed tomography
- risk factors
- minimally invasive
- coronary artery bypass
- rectal cancer
- optical coherence tomography
- antiplatelet therapy
- locally advanced
- squamous cell carcinoma
- surgical site infection
- percutaneous coronary intervention
- positron emission tomography
- atrial fibrillation
- coronary artery disease
- contrast enhanced
- internal carotid artery
- loop mediated isothermal amplification