[Posttraumatic hematuria associated with pelvic arteriovenous fistula].
OBJECTIVE
To describe a patient with severe hematuria of late onset and pelvic arteriovenous fistula secondary to pelvic trauma.


RESULTS
A patient with multiple fracture of the pelvis and sacrum from a road traffic accident presented severe posttraumatic hematuria associated with pelvic arteriovenous fistula. The fistula was resolved by selective embolization and the hematuria immediately ceased.


CONCLUSIONS
Patients with severe or long-lasting hematuria after pelvic trauma and no injuries to the urinary system, warrant arteriographic evaluation to discard vascular lesions. If present, these lesions are generally easily resolved by selective embolization.
Fernández Gómez
J M
JM
Servicio de Urología, Hospital Ntra. Sra. de Covadonga, Oviedo, Asturias.
Regadera Sejas
F J
FJ
Scaf Barmadah
S
S
San Martín Blanco
A
A
Pérez García
F J
FJ
D000063:Accidents, Traffic; D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications*; D004621:Embolization, Therapeutic; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery; D006417:Hematuria / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000150:complications* / Q000601:surgery; D010388:Pelvis / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D012447:Sacrum / Q000293:injuries / Q000601:surgery; D012769:Shock / Q000209:etiology; D013997:Time Factors; D001743:Urinary Bladder / Q000293:injuries / Q000601:surgery