ILICOURETERAL FISTULA AS A CAUSE OF LIFE-THREATENING HAEMATURIA

Česká verzia

Authors: Libor Luňáček ^1,2; Jan Krajča ³; David Míka ^1,2; Jan Krhut ^1,2
Authors place of work: Oddělení urologické, Fakultní nemocnice Ostrava ¹; Katedra chirurgických oborů Lékařské fakulty Ostravské univerzity, Ostrava ²; Radiodiagnostický ústav, Fakultní nemocnice Ostrava ³
Published in the journal: Ces Urol 2017; 21(3): 231-235
Category: Case report

Summary

Major statement:
This case report presents a patient with a ilicoureteral fistula. Ilicoureteral fistula is a rare cause of hematuria and it was detected by an aortic angiography. In this present case the fistula was resolved by implanting an endovascular stent.

This case report presents a case of a 74 year old woman who was monitored in our department with a bilateral hydronephrosis. Her hydronephrosis was caused by a stricture of both ureters after radiotherapy. Due to age, comorbidities, conditions after previous abdominal surgery and radiotherapy, the urinary drainage was dealt with using ureteral stents and nephrostomy. In August 2016, this woman was hospitalized for a urinary tract infection and macroscopic haematuria. After spontaneous regression of haematuria the nephrostomy was exchanged, however it was followed by repeated haematuria. Ilicoureteral fistula was detected by an aortic angiography. Ilicoureteral fistula is a rare cause of haematuria. The main solution for these conditions is endovascular treatment by using endovascular stent grafts.

KEY WORDS:
Angiography, fistula, haematuria, ilicoureteral, stent.

Zdroje

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2. Moschcowitz A. Simultaneous ligation of both external iliac arteries for secondary hemorrhage following bilateral ureterolihtotomy. Annals of Surgery 1908; 48: 872–875.

3. Krambeck AE, DiMarco DS, Gettman MT, Segura JW. Ureteroiliac artery fistula: diagnosis and treatment algorithm. Urology 2005; 66(5): 990–994.

4. Bergqvist D, Parsson H, Sherif A. Arterio‑ureteral fistula: a systematic review. Eur J Vasc Endovasc Surg. 2001; 22: 191–196.

5. Kim DH, Mahdy A, Mundra V, Berman M, Ghoniem GM. Ureteroarterial Fistula. Case Rep Med. 2009; 2009: 326969

6. Finney RP. Experience with new double J ureteral catheter stent. Journal of Urology 1978; 120(6): 678–681.

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Článok vyšiel v časopise

Czech Urology

2017 Číslo 3

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