[Iliac artery-ureteral fistula after aorto-iliac reconstructive surgery (apropos of 3 cases)].
The authors report 3 cases of ilio-ureteric fistulae following aorto-iliac reconstructive surgery. They also review 6 similar cases published in the worldwide literature. All of these cases have in common the appearance of a uretero-arterial fistula several years after the vascular operation on the iliac artery. The postoperative course of iliac thromboendarterectomy appears to be principally responsible, as in the 3 cases presented here, resulting in a pseudoaneurysm over the arteriotomy closure, especially as a patch angioplasty had been performed. This complication is exceptional. The diagnosis must be suspected in the case of profuse haematuria and a suggestive history and should be confirmed, when possible, by intravenous urography, retrograde ureteropyelography, arteriography, or even computed tomography. Treatment is complex and consists of a vascular and urological procedure depending on the degree of urgency and the possibilities of reconstruction.
Simon
G
G
Service d'Urologie, Hôpital du Tondu, Bordeaux.
Ballanger
P
P
Midy
D
D
Junès
F
F
Baste
J C
JC
Boisieras
P
P
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D017541:Aneurysm, False / Q000150:complications; D001011:Aorta / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D004691:Endarterectomy / Q000009:adverse effects*; D005402:Fistula / Q000209:etiology*; D006801:Humans; D007083:Iliac Artery / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D014515:Ureteral Diseases / Q000209:etiology*; D014548:Urinary Fistula / Q000209:etiology*; D014652:Vascular Diseases / Q000209:etiology
D011093:Polyethylene Terephthalates
Fistules artérielles ilio-urétérales après chirurgie reconstructrice aorto-iliaque (à propos de 3 cas).