Ureteroarterial fistula with ruptured anastomotic pseudoaneurysm: successful management with vascular exclusion, extra-anatomic bypass and nephrectomy--a case report.
Ureteroarterial fistula is a rare but life-threatening condition most often arising as a consequence of combined vascular and urologic pathology. Only about 70 cases are reported in the English literature. Principles of repair include complete vascular isolation, extra-anatomic bypass, and urinary stream diversion away from major vascular conduits. The case presented herein is only the second reported instance of fistulization to an anastomotic pseudoaneurysm of an iliopopliteal bypass.
Baldwin
Zachary K
ZK
Section of Vascular Surgery, Department of Surgery, University of Chicago, 5841 S. Maryland Ave, Chicago, IL 60637, USA.
Sokoloff
Mitchell M
MM
Gerber
Glenn S
GS
Schwartz
Lewis B
LB
D000368:Aged; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001807:Blood Vessel Prosthesis; D003558:Cystoscopy; D005260:Female; D006083:Graft Occlusion, Vascular / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D009392:Nephrectomy; D011093:Polyethylene Terephthalates; D015607:Stents; D014548:Urinary Fistula / Q000601:surgery*
D011093:Polyethylene Terephthalates