Percutaneous endovascular repair of a ureteroarterial fistula with a stent graft.
Ureteroarterial fistula is a rare but life-threatening cause of hematuria. The predisposing factors of a ureteroarterial fistula includes pelvic exenteration, radiation therapy, infection, primary vascular disease, vascular reconstructive surgery, and indwelling ureteral catheters or stents. We report a case of ureteroarterial fistula between the right ureter and a pseudoaneurysm originating from the right proximal external iliac artery in a female patient presenting with intermittent massive hematuria. She had previously undergone an operation for cervical cancer, radiation therapy, and ureteral stent placement. She was treated successfully by percutaneous endovascular stent graft placement to exclude the pseudoaneurysm. Percutaneous stent graft placement appears to be an effective and safe therapeutic alternative in the treatment of ureteroarterial fistula.
Fu
Jui-Hsun
JH
Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
Liang
Huei-Lung
HL
Yu
Chia-Cheng
CC
Pan
Huay-Ben
HB
Yang
Chien-Fang
CF
D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents; D014515:Ureteral Diseases / Q000628:therapy*; D014548:Urinary Fistula / Q000628:therapy*; D016157:Vascular Fistula / Q000628:therapy*