Closure of a ureterocutaneous fistula with a covered stent-graft.
A 74-year-old woman developed retroperitoneal fibrosis after aortic surgery for a left common iliac artery aneurysm. On the 5th day after repair, a left groin ureterocutaneous fistula developed. Because of the presence of a hostile surgical bed, the fistula was treated with percutaneous nephrotomy and double J stent insertion. Despite proximal control for more than 1 year, the fistula persisted. She was referred to the interventional radiology department for exchange to a nephrostomy with ureteral embolization. Rather than perform embolization of the ureter, we successfully repaired the fistula with a covered stent-graft. The patient was seen again 1 year after stent-graft placement. Output continues to fluctuate but never exceeds 5 mL per day.
Reddy
Dindi D
DD
Department of Interventional Radiology, Beaumont Hospital, 3601 West 13 Mile Road, Royal Oak, Michigan 48073, USA.
Salem
Riad
R
Gonzalez
Jose A
JA
Konstandt
David
D
Sergie
Ziad
Z
Lewandowski
Robert
R
D000368:Aged; D019917:Blood Vessel Prosthesis Implantation; D017577:Cutaneous Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D009403:Nephrostomy, Percutaneous; D015641:Radiography, Interventional; D012185:Retroperitoneal Fibrosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D015607:Stents; D014515:Ureteral Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*