Uretero-iliac artery fistula: an uncommon life-threatening cause of hematuria. A case report

Silvia Alvarez-Bandrés, José Luis Abades-Vázquez, Iosu Aldekoa-Hurtado, Santiago Ezquerro-Sáenz

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Resumen

Uretero-arterial fistula (UAF) is an uncommon but potentially life-threatening condition that usually manifests as hematuria. We report a new case of UAF presenting with massive bleeding and hypovolemic shock in a patient with a history of vascular prosthetic surgery and long-term ureteral stenting for urinary lithiasis. Recognizing this condition is difficult but crucial for a prompt diagnosis and appropriate treatment. Angiography offers the highest diagnostic benefit and arterial stent-graft placement is nowadays the treatment of choice. In our patient early clinical suspicion made curative endovascular treatment possible in an effective and safe way.

Palabras clave

fístula uretero-arterial; hematuria; colocación de stent ureteral

Referencias

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DOI: http://dx.doi.org/10.5281/zenodo.13924011



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