J Korean Soc Radiol.  2020 Jul;81(4):953-957. 10.3348/jksr.2020.81.4.953.

Endovascular Treatment for Arterioureteral Fistula of the Abdominal Aorta: A Case Report and Literature Review

• Lee HN
• Lee WH

• KMID: 2504807
• DOI: http://doi.org/10.3348/jksr.2020.81.4.953

Abstract

We present a rare case demonstrating successful endovascular management of an arterioureteral fistula involving the abdominal aorta. Arterioureteral fistulas are rare but life-threatening, with mortality rates ranging from 7% to 23%. Early recognition and prompt management are essential for preventing catastrophic consequences, including hypovolemic shock. However, recognition of an arterioureteral fistula requires a high index of clinical suspicion due to its rarity and the lack of a sensitive diagnostic method. Arterioureteral fistulas could be induced by traumatic events in patients who have a history of pelvic surgery, radiation, and prolonged placement of a ureteral stent. Endovascular stent graft placement could be a valid treatment option for arterioureteral fistulas involving the abdominal aorta.

Keyword

Urinary Fistula; Hematuria; Stents; Endovascular Procedures; Aneurysm, False