Uretero-arterial fistula: a case report and review of the literature.
We report the case of a uretero-arterial fistula (UAF) formation in a 68 years old male who had previously undergone an Aortobifemoral graft. He got complicated with occlusion and infection of the right lower extremity requiring a right hip disarticulation for its management. This was followed by groin infection and graft protusion, managed by transabdominal resection of the right graft limb, at which time the right ureter was lacerated and repaired. Several months later, he presented with gross hematuria found to be secondary to UAF. The diagnostic and management steps leading to this patient care will be reviewed, together with a review of the literature pertinent to this case report.
Camps
J I
JI
General Surgery Department, Mayaguez Medical Center, PR.
Ortiz
V N
VN
Vargas
J
J
Figueroa
M
M
D000368:Aged; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D011859:Radiography; D014513:Ureter / Q000293:injuries / Q000601:surgery; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D014548:Urinary Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology* / Q000601:surgery