Korean J Urol.  2007 Apr;48(4):463-466. 10.4111/kju.2007.48.4.463.

Arterio-Ureteral Fistula due to External Iliac Artery Pseudo-aneurysm Rupture

• Choi YS
• Jang J
• Kim DB

• KMID: 1997117
• DOI: http://doi.org/10.4111/kju.2007.48.4.463

Abstract

Arterio-ureteral fistulas are uncommon but potentially cause a life-threatening hemorrhage that manifest as gross hematuria. Approximately 90 cases of arterio-ureteral fistulas have been reported in the English-language literature. To our knowledge, there have been no report about this issue in Korea. We experienced 1 patient with arterio-ureteral fistula after pelvic operation and radiation therapy followed by ureteral stent. Arterio- ureteral fistula was diagnosed by selective arteriography and treated by surgical management successfully without complications.

Keyword

Ureter; Stents; Fistula; Arteriography

MeSH Terms

Angiography
Fistula*
Hematuria
Hemorrhage
Humans
Iliac Artery*
Korea
Rupture*
Stents
Ureter

Figure

• 

  Fig. 1. (A) Bilateral hydronephrosis with hematoma, bilateral ureteral stent insertion state. (B) Round huge hematoma in the bladder.

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  Fig. 2. (A) Bilateral renal angiogram shows no definite abnormal lesion. Ureteral stents are well positioned bilaterally and contrast of previously taken computed tomography (CT) is still remained in descending colon. (B), (C) Abdominal aortogram and selective iliac arteriogram shows no definite bleeding focus or vessel malformations.

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  Fig. 3. (A) Selective iliac arteriogram shows contrast leakage from right external iliac artery pseudo- aneurysm (white circle) to right ureter and excret to bladder (white arrow). (B) External ilio-femoral bypass operation is done.

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