[Aorto-ureteral fistula. A rare cause of hematuria].
A 49-year-old woman was admitted with profuse bleeding from the urostoma. She had been treated for a gynaecological and colon cancer and had a sigmoidostomy, an ileal conduit, and bilateral ureteral stents. Perioperatively, an aorto-ureteral fistula was found at the cross-point between the left ureter and the aorta. Strictures and fistulae are generally caused by ischaemia, radiation therapy, urinary leak, or infection. Surgery and ureteral stenting are the major risk factors. The optimal investigation is a retrograde pyelogram with digital subtraction angiography.
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Arhus Universitetshospital, Skejby Sygehus, urologisk afdeling K. birgitsol@dadlnet.dk
D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005402:Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006417:Hematuria / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D014515:Ureteral Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014519:Ureterostomy