Erosion of the ureter by ileofemoral arterial prosthesis.
We report a case of erosion of the ureter by a prosthetic vascular graft subsequent to an ileofemoral bypass. The diagnosis, etiology, and management from both vascular and urologic points of view are discussed, and the available literature is reviewed. Therapeutic principles include early intervention, ureteric reconstruction or ureteronephrectomy depending on circumstances, removal of prosthesis and delayed vascular reconstruction if feasible to avoid contamination, or revascularization with extraanatomic bypass if urgent.
DiCostanzo
G A
GA
Division of Vascular Surgery, Toronto General Hospital, Ontario, Canada.
Kalman
P G
PG
Trachtenberg
J
J
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D008297:Male; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D014567:Urography