Uretero-iliac artery fistula: an uncommon life-threatening cause of hematuria. A case report
DOI:
https://doi.org/10.5281/zenodo.13924011Keywords:
uretero-arterial fistula, haematuria, ureteral stentingAbstract
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.
Downloads
References
Waqar M, Mathias SJ, Murali V, Thursby H, Luscombe C, James R, Mak D, Chakravarti A, Day C, Dyer J. Arterio-Ureteral Fistula: A Rare Elusive Cause of Significant Hematuria. Cureus [Internet]. 2023 Jun [cited 11 Ago 2024]; 5;15(6):e39989. DOI: https://doi.org/10.7759/cureus.39989
Lee HN, Lee WH. Endovascular Treatment for Arterioureteral Fistula of the Abdominal Aorta: A Case Report and Literature Review. Taehan Yongsang Uihakhoe Chi [Internet]. 2020 Jul [cited 26 Ago 2024]; 81(4):953-957. DOI: https://doi.org/10.3348/jksr.2020.81.4.953
Pillai AK, Anderson ME, Reddick MA, Sutphin PD, Kalva SP. Ureteroarterial Fistula: Diagnosis and Management. AJR Am J Roentgenol [Internet]. 2015 [cited 26 Ago 2024]; 204:w592-w598. DOI: https://doi.org/10.2214/ajr.14.13405
Bietz G, House A, Erickson D, Endean ED. Diagnosis and treatment of arterial-ureteric fistula. J Vas Surg [Internet]. 2014 [cited 26 Ago 2024]; 59(6):1701-1704. DOI: https://doi.org/10.1016/j.jvs.2013.06.015
Bergqvist D, Pärsson H and Sherif A. Arterio-ureteral Fistula- a Systematic Review. Eur J Vasc Endovasc Surg [Internet]. 2001 [cited 11 Ago 2024]; 22(3):191-196. DOI: https://doi.org/10.1053/ejvs.2001.1432
Van der Bergh RC, Moll FL, de Vries JP, Yeung KK, Lock TM. Arterio-ureteral fistula: 11 new cases of a Wolf in sheep´s clothing. J Urol [Internet]. 2008 [cited 7 Sep 2024]; 179(2):578-581. DOI: https://doi.org/10.1016/j.juro.2007.09.087
Tselikas L, Pellerin O, Di Primio M, Ben Arfi M, Joskin J, Beyssen B, Thiounn N, Sapoval M. Uretero-iliac fistula: Modern treatment via the endovascular route. Diagnostic and Interventional Imaging [Internet]. 2013 [cited 11 Ago 2024]; 94(3):311-318. Available at: https://www.clinicalkey.com/#!/content/journal/1-s2.0-S2211568412003397#refInSitubib0080
Madoff D, Gupta S, Toombs BD, Skolkin MD, Charnsangavej C, Morello FA, Ahrar K, Hicks ME. Arterioureteral Fistulas: A clinical, diagnostic and therapeutic dilema. AJR Am J Roentgenol [Internet]. 2004 [cited 11 Ago 2024]; 182(5):1241-1250. DOI: https://doi.org/10.2214/ajr.182.5.1821241
Aslam MZ, Kheradmund F, Patel N, Cranston D. Uretero-iliac artery fistula: a diagnostic and therapeutic challenge. Adv Urol [Internet]. 2010 [cited 7 Sep 2024]; 2010:276497. DOI: https://doi.org/10.1155%2F2010%2F276497
Finney RP. Experience with new double J ureteral catheter stent. J Urol [Internet]. 1978 [cited 8 Sep 2024]; 120(6):678-81. DOI: https://doi.org/10.1016/s0022-5347(17)57326-7
Abercrombie GF and Hendry WF. Ureteric obstruction due to perianeurysmal fibrosis. Br J Urol [Internet]. 1971 [cited 7 Sep 2024]; 43(2):170-173. DOI: https://doi.org/10.1111/j.1464-410x.1971.tb12020.x
Turo R, Hadome E, Somov P, Hamid B, Gulur DM, Petterson BA, Awsare NS. Uretero-arterial Fistula – Not so rare? Curr Urol [Internet]. 2018 [cited 14 Sep 2024]; 12(1):54-56. DOI: https://doi.org/10.1159/000489419
Mahlknecht A, Bizzotto L, Gamper C, Wieser A. A rare complication of ureteral stenting: Case report of a uretero-arterial fistula and revision of the literatura. Arch Ital Urol. Androl [Internet]. 2018 [cited 14 Sep 2024]; 90(3):215-217. DOI: https://doi.org/10.4081/aiua.2018.3.215
Bilbao JI, Cosín O, Bastarrika G, Rosell D, Zudaire J, Martínez-Cuesta A. Treatment of ureteroarterial fistulae with covered vascular endoprostheses and ureteral occlusion. Cardiovasc Intervent Radiol [Internet]. 2005 [cited 11 Ago 2024]; 28(2):159-63. DOI: https://doi.org/10.1007/s00270-004-0196-0
Krambeck AE, DiMarco DS, Gertman MT, Segura JW. Ureteroiliac artery fistula: diagnosis and treatment algorithm. Urology [Internet]. 2005 [cited 14 Sep 2024]; 66(5):990. DOI: https://doi.org/10.1016/j.urology.2005.05.036
García Martínez B, Calleja Hermosa P, Fernández Guzmán E, Jordá Lope J, Ballestero Diego R, Campos Juanatey F, et al. Arterial Fistulas in Urinary Diverted Patients: A Report of 5 Cases. Cardiovasc Intervent Radiol [Internet]. 2022 Dec [cited 14 Sep 2024]; 45(12):1848-1854. DOI: https://doi.org/10.1007/s00270-022-03273-1
Van der Bergh RC, Moll FL, de Vries JP, Lock TM. Arteriureteral fistulas: unusual suspects – systematic review of 139 cases. Urology [Internet]. 2009 [cited 14 Sep 2024]; 74(2):251-255. DOI: https://doi.org/10.1016/j.urology.2008.12.011
Suarez González JA, Verez Vivero M, Núñez López AV. Massive hematuria from artery-ureteral fistula. Actas Urol Esp [Internet]. 2004 [cited 26 Ago 2024]; 28(9):680-682. DOI: https://doi.org/10.1016/s0210-4806(04)73161-7
Feuer DS, Ciocca RG, Nackman GB, Siegel RL, Graham AM. Endovascular management of ureteroarterial fistula. J Vasc Surg [Internet]. 1999 [cited 7 Sep 2024]; 30(6):1146-1149. DOI: https://doi.org/10.1016/s0741-5214(99)70055-8
Sherif A, Karacagil S, Magnusson A, Nyman R, Norlen BJ, Bergqvist D. Endovascular approach to treating secondary arterioureteral fistula. Scand J Urol Nephrol [Internet]. 2002 [cited 26 Ago 2024]; 36(1):80-82. DOI: https://doi.org/10.1080/003655902317259436
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Silvia Alvarez-Bandrés, José Luis Abades-Vázquez, Iosu Aldekoa-Hurtado, Santiago Ezquerro-Sáenz
This work is licensed under a Creative Commons Attribution 4.0 International License.
